ATI LPN Fundamentals Proctored Exam I

A nurse is caring for a client who has a large surgical wound healing by secondary intention. The nurse should recommend a diet high in protein and which of the following nutrients?

A nurse is caring for a client who has a stage-3 pressure ulcer that now has some granulating tissue. Which of the following interventions should the nurse recommend for inclusion in the plan of care?

A nurse is collecting data on a client. Which of the following findings increase the client's risk for developing a pressure injury?

A nurse is collecting data on client who has a heart rate of 56/min. Which of the following findings should the nurse expect?

A nurse is caring for an older adult client who is at risk for skin breakdown. Which of the following interventions should the nurse use to help maintain the client's skin integrity?

A nurse is measuring an adult client's tympanic temperature. Which of the following actions should the nurse take?

A nurse is collecting data on a client to check for orthostatic hypotension. Which of the following actions should the nurse take first?

A nurse is caring for a client who has urinary incontinence. Which of the following actions should the nurse take to prevent the development of skin breakdown?

Click to highlight the findings that require follow-up. To deselect a finding, click on the finding again. Exhibits Wound bed is red. Redness noted at wound borders, skin surrounding wound is warm to

A nurse is collecting data on a client who has a stage 1 pressure injury. Which of the following findings should the nurse expect?

A nurse is collecting data on a client who has a wound that is healing by first intention. Which of the following findings should the nurse expect?

A nurse is collecting data on a client who has a stage 2 pressure injury. Which of the following findings should the nurse expect?

A nurse is contributing to the plan of care for a client who has a superficial skin tear with no exudate. Which of the following dressings should the nurse recommend to cover the wound?

A nurse is preparing to measure a client's oral temperature. The client states that he has just had some ice chips in his mouth. Which of the following actions should the nurse take?

A nurse is assisting with teaching a class about documenting blood pressure. The nurse should include to document which of the following information?

A nurse is preparing to obtain an electronic blood pressure measurement on a client. Which of the following actions should the nurse plan to take?

A 45-year-old mother of 3 young children is at the doctor's office and her blood pressure is 152/92. This is the first time that has ever shown an elevated reading. She is concerned that she has hyper

The young mother of an 8-month-old patient brought her daughter to the clinic after taking the little girl's temperature rectally and obtaining a reading of 100.4 F. The mother was concerned that her

A nurse is collecting data on a client who has impaired mobility. The nurse should monitor the client for a pressure injury due to which of the following factors?

A nurse is caring for a client who has a Penrose drain. Which of the following actions should the nurse take?

A patient is obese. At the bedside is a standard-size blood pressure cuff. The nurse realizes that the use of this cuff will provide which of the following?

A nurse is collecting data about a client's circulatory system. Which of the following pulse sites should the nurse avoid checking bilaterally at the same time?

Which of the following interventions is important for preventing dehiscence of an abdominal incision?

A nurse is caring for a client who has a large wound that has a vacuum-assisted closure device (wound vac) placed over it. Which of the following findings by the nurse, during a dressing change, indic

A nurse palpates a client's radial pulses bilaterally and notes the client's right radial pulse is bounding, and the client's left radial pulse is as expected. The client's heart rate is 80/min. Which