The nurse administers cleansing enema. The common position for this procedure is...

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ATI LPN Test Bank

ATI LPN Fundamentals Proctored Exam 2024 Questions

Question 1 of 5

The nurse administers cleansing enema. The common position for this procedure is...

Correct Answer: A

Rationale: Sims left lateral allows easy access to the rectum and comfort during an enema.

Question 2 of 5

Which of the following patients is at greatest risk for developing pressure ulcers?

Correct Answer: B

Rationale: Age, immobility, incontinence, and malnutrition heighten pressure ulcer risk.

Question 3 of 5

An 8.5 lb, 6 oz infant is delivered to a diabetic mother. Which nursing intervention would be implemented when the neonate becomes jittery and lethargic?

Correct Answer: C

Rationale: Jitteriness and lethargy suggest hypoglycemia, common in infants of diabetic mothers; glucose water corrects this.

Question 4 of 5

What do you think is the most important nursing order in a client with major head trauma who is about to receive bolus enteral feeding?

Correct Answer: A

Rationale: Monitoring I&O ensures fluid balance with hyperosmotic enteral feeding.

Question 5 of 5

The most important nursing intervention to correct skin dryness is:

Correct Answer: D

Rationale: Hydration, gentle soap, and lotion address dryness and prevent cracking.

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