ATI LPN
ATI PN Fundamentals 2023 NS117 Winter 2023 Monroe College NY PN Questions
Extract:
Question 1 of 5
A charge nurse in a long-term care facility is observing another nurse who is inserting an indwelling urinary catheter into a female client. Which of the following actions by the nurse should prompt the charge nurse to intervene?
Correct Answer: C
Rationale: Separating the labia with the dominant hand violates sterile technique; the non-dominant hand should be used.
Question 2 of 5
A nurse is assisting with the care of a client who has respiratory alkalosis and is hyperventilating. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Breathing into a paper bag increases CO2 levels, correcting respiratory alkalosis caused by hyperventilation.
Question 3 of 5
A nurse is assisting with teaching a class about pulmonary circulation. The nurse should include that blood flows from the heart to the lungs from the right ventricle starting from which of the following locations?
Correct Answer: A
Rationale: The pulmonary artery is the large blood vessel that carries deoxygenated blood from the right ventricle to the lungs for gas exchange. It is the only artery that carries deoxygenated blood in the body.
Question 4 of 5
A nurse is caring for a client who has COPD. The nurse should identify that the client is at risk for which of the following acid-base imbalances?
Correct Answer: B
Rationale: Respiratory acidosis is a condition in which the blood pH is lowered due to an accumulation of carbon dioxide. It can be caused by hypoventilation, airway obstruction, or lung diseases such as COPD. It is the most common acid-base imbalance in COPD patients.
Question 5 of 5
A nurse is collecting data on a client who is receiving a unit of PRBCs. Which of the following findings is a manifestation of an allergic transfusion reaction?
Correct Answer: D
Rationale: Wheezing indicates an allergic reaction to the transfusion, a hypersensitivity response to donor blood components.