ATI LPN n117 fundamentals exam | Nurselytic

Questions 46

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ATI LPN n117 fundamentals exam Questions

Extract:


Question 1 of 5

A charge nurse observes a nurse administer intermittent tube feedings via an NG tube to a client. Which of the following actions should prompt the charge nurse to intervene?

Correct Answer: C

Rationale: Supine position during feeding increases aspiration risk; semi-Fowler's is recommended.

Question 2 of 5

A nurse is caring for a client who has capillary blood glucose 48 mg/dL. Which of the following findings should the nurse expect?

Correct Answer: A

Rationale: Tremors are a common hypoglycemia symptom due to the body's stress response.

Question 3 of 5

A nurse is collecting data on a client who is experiencing hypervolemia. Which of the following findings should the nurse expect?

Correct Answer: B

Rationale: Peripheral edema occurs in hypervolemia as excess fluid accumulates in tissues.

Question 4 of 5

A nurse is collecting data on a client. Which of the following findings increase the client's risk of a pressure injury?

Correct Answer: B,C,D,E

Rationale: B: Neuropathy reduces sensation. C: Immobility causes prolonged pressure. D: Hypoperfusion impairs tissue oxygenation. E: Low prealbumin indicates poor nutrition.

Question 5 of 5

A nurse is preparing for a client who is at risk for a pressure injury. Which of the following actions should the nurse take?

Correct Answer: C

Rationale: A high-calorie diet supports skin integrity and healing, reducing pressure injury risk.

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