ATI LPN Fundamentals Final Proctored Exam

During a bath, the nurse notices redness and a potential pressure ulcer on the client's sacral area. What should the nurse do next?

A nurse needs to communicate an urgent situation involving a client who has deteriorating vital signs. Using the ISBARR tool, what should the nurse prioritize immediately after introducing themselves

As an LVN, you are working in an intraprofessional team on a medical-surgical unit. Which of the following tasks is most appropriate for you to perform in collaboration with the RN?

What is the nurse's primary role when performing a health assessment for a client with limited health literacy?

While assessing a patient, the nurse identifies a respiratory rate of 28 breaths per minute. Which action should the nurse prioritize?

A patient is unable to reposition themselves and is at risk for pressure ulcers. Which bed position should a nurse prioritize to reduce this risk?

The nurse observes a patient with a heart rate of 120 bpm and reports of dizziness. What is the nurse's next action?

A patient with a contaminated abdominal wound after surgery is planned for delayed primary closure. Which of the following actions by the nurse is most appropriate to facilitate healing by tertiary in

A nurse is assessing a patient with suspected oculomotor nerve (CN III) damage. Which finding would indicate an intact oculomotor nerve?

A nurse witnesses a car accident and stops to assist the injured individuals. Under the Good Samaritan laws, what action is the nurse protected for?

A patient presents to the emergency department with acute respiratory distress and a high fever. Which of the following should the nurse prioritize?

A nursing student is caring for a newborn who wakes up frequently at night. What is the best action to ensure restorative sleep while addressing the baby's needs?

A patient presents with a skin abrasion on the forearm. Which of the following interventions is most important to prevent infection?

A nurse is developing a plan of care for a patient admitted with pneumonia who has cultural dietary restrictions. What is the most appropriate action?

A 60-year-old client with a surgical wound is showing signs of serous drainage. Which of the following should the nurse document about the drainage?

When assessing a patient with dark skin tones for suspected deep tissue injury, what should the nurse prioritize?

A client expresses confusion about the risks of a procedure after the provider explained them. What should the nurse do next?

What is the primary purpose of using the PICOT format in Evidence-Based Practice?

A nurse is assessing a client's blood pressure using the two-step method. Which error could lead to inaccurate readings?

Which bed position is most appropriate for a patient with respiratory distress to facilitate easier breathing?

A nurse is caring for a patient who values spiritual practices and requests time for prayer before receiving treatment. What is the most appropriate nursing intervention?

A nurse is assessing a client's risk for pressure injuries using the Braden Scale. The client is bedridden, has a poor appetite, and frequently slides down in bed. Which Braden Scale category should b

A nurse is working in a healthcare facility that uses critical pathways to manage patient care. Which action by the nurse demonstrates an understanding of when to deviate from the critical pathway?

A client's oxygen saturation is measured at 90% on room air. What action should the nurse take first?

In a Charting by Exception (CBE) system, which scenario requires additional documentation?