A client had 20 mg of Lasix (furosemide) PO at 10 AM. Which would be essential for the nurse to include at the change of shift report?

Questions 90

ATI LPN

ATI LPN Test Bank

Patient Comfort Questions Questions

Question 1 of 5

A client had 20 mg of Lasix (furosemide) PO at 10 AM. Which would be essential for the nurse to include at the change of shift report?

Correct Answer: C

Rationale: Urine output of 1500 cc in 5 hours is essential post-Lasix. Furosemide's diuretic effect needs monitoring for efficacy and fluid status, critical post-MI. Weight , potassium , and next dose are secondary. C drives care, making it key.

Question 2 of 5

The nurse planning care for a 12 year-old child with sickle cell disease in a vaso-occlusive crisis of the elbow should include which one of the following as a priority?

Correct Answer: B

Rationale: Client-controlled analgesia is priority in sickle cell crisis. Pain from vaso-occlusion needs immediate relief, per standards. Fluid restriction , cold , or exercise worsen it. B manages pain, making it key.

Question 3 of 5

A client who is receiving a whole blood transfusion suddenly reports low back pain and dyspnea. Which action should the nurse take first?

Correct Answer: B

Rationale: Stopping the transfusion and keeping the vein open with saline is first. Back pain and dyspnea signal a transfusion reaction (e.g., hemolytic), needing immediate cessation per protocol. Slowing delays, calling or checking vitals follows. B stops harm, maintaining access, making it priority.

Question 4 of 5

The nurse is assessing a client with a history of heart failure who reports gaining 3 pounds since yesterday. Which additional finding would be of most concern to the nurse?

Correct Answer: C

Rationale: Crackles in lower lobes are most concerning with a 3-pound gain in heart failure. They indicate pulmonary edema from fluid overload, needing urgent care, per pathophysiology. Pillows , BP , and no dyspnea are less acute. C signals decompensation, making it priority.

Question 5 of 5

The nurse is caring for a client with tuberculosis in an airborne isolation room. Which action by the nurse indicates a break in infection control precautions?

Correct Answer: A

Rationale: Wearing gown and gloves only breaks TB precautions. Airborne isolation requires an N95/HEPA mask to filter droplets, per CDC guidelines; gown/gloves alone insufficient. HEPA mask , handwashing , and closed door are correct. A risks transmission, making it the error.

Access More Questions!

ATI LPN Basic


$89/ 30 days

ATI LPN Premium


$150/ 90 days

Similar Questions