ATI LPN Fundamentals exam VI

Extract:

Question 1 of 5

A charge nurse is observing a nurse performing a Mantoux tuberculin skin test for a client. Which of the following actions should prompt the charge nurse to intervene?

A. Creating a 6 mm (1/4 in) bleb in the intradermal space of the forearmB. Visualizing the tip of the needle under the skinC. Stretching the skin tightly before injectionD. Withdrawing the needle and massages the site gently

Correct Answer: D

Rationale: Massaging after injection disperses PPD, affecting test accuracy, unlike the correct bleb size, avoiding needle tip visualization, and stretching skin which are proper techniques.

Question 2 of 5

A nurse is reinforcing teaching with a client who has a new prescription for pantoprazole for heartburn. Which of the following information should the nurse include?

A. This medication decreases the production of gastric acidB. This medication can cause hyperkalemiaC. Take this medication at bedtimeD. Take this medication 2 hr after eating

Correct Answer: A

Rationale: Pantoprazole, a PPI, reduces gastric acid production, not causing hyperkalemia, and is best taken before meals, not at bedtime or post-eating.

Question 3 of 5

A nurse is preparing to administer an intradermal injection for a client who requires a tuberculin skin test. Which of the following actions should the nurse plan to take?

A. Hold the syringe at a 20Â° angle to the client's skin.B. Draw up 0.5 mL of purified protein derivative (PPD) from the vial.C. Place a 1 in needle on the syringe.D. Hold the skin taut at the chosen site with the nondominant hand before inserting the needle.

Correct Answer: D

Rationale: Holding the skin taut ensures smooth needle penetration at the correct 5-15Â° angle for an intradermal injection, unlike the incorrect 20Â° angle, excessive 0.5 mL dose, or overly long 1-inch needle.

Question 4 of 5

A nurse is reinforcing teaching with a client who has diabetes mellitus about using a glucometer to monitor her blood glucose. Which of the following actions should the nurse identify as an indication that the client understands the instructions?

A. Avoids using the fingers of her dominant hand as puncture sites.B. Avoids using the thumbs as puncture sitesC. Uses the side of a fingertip as the puncture siteD. Uses the ball of a finger as the puncture site

Correct Answer: C

Rationale: Using the side of a fingertip is less painful and ensures adequate blood flow, unlike the ball of the finger or unnecessary avoidance of dominant hand or thumbs unless calloused.

Question 5 of 5

A 22-year-old dialysis patient presents to the ER with chest pain and palpitations. Laboratory tests reveal a Potassium (K+) level of 7.0 mEq/L. Which electrolyte imbalance is the patient suffering from?

A. HypercalcemiaB. HyperkalemiaC. HypokalemiaD. Hyponatremia

Correct Answer: B

Rationale: A potassium level of 7.0 mEq/L indicates hyperkalemia, causing cardiac symptoms, unlike calcium or sodium imbalances.

ATI LPN Fundamentals exam VI | Nurselytic

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