ATI LPN Fundamentals exam VI

Extract:

Question 1 of 5

A client who is taking nitrofurantoin for a urinary tract infection voices a concern to the clinic nurse about experiencing numbness and tingling of the hands and feet. Which of the following is an appropriate response by the nurse?

A. Drinking more fluid will prevent numbness and tingling.'B. An increase in urinary frequency, burning, and dysuria shows the medication is working.'C. Numbness and tingling of the hands and feet are harmless side effect of the medication.'D. Numbness and tingling of hands and feet are adverse reactions and the provider may change your medication.'

Correct Answer: D

Rationale: Numbness and tingling suggest peripheral neuropathy, a serious nitrofurantoin adverse effect requiring provider review, not hydration, UTI symptoms, or dismissal as harmless.

Question 2 of 5

A nurse is assisting with teaching a newly licensed nurse about preventing puncture injuries. Which of the following instructions should the nurse include?

A. Dispose of used razors in wastebaskets.B. Replace sharps containers when they are full.C. Use two hands to recap a needle after administering a medication.D. Break needles on syringes before disposal.

Correct Answer: B

Rationale: Replacing sharps containers at 3/4 full prevents overfilling and injury, unlike unsafe wastebasket disposal, recapping, or breaking needles.

Question 3 of 5

A nurse is caring for a patient who is receiving DSW with 20 mEq of KCL at 75 mL/hr. The provider has prescribed 1 g of ceftriaxone IV. When preparing to administer this medication by IV piggyback, which of the following data is the highest priority for the nurse to consider before administration?

A. The patient's vital signsB. The medication's compatibility with the primary IV solutionC. The patient's level of consciousnessD. The amount of IV solution in the primary bag

Correct Answer: B

Rationale: Ensuring ceftriaxone compatibility with D5W and KCl prevents chemical reactions or precipitation, taking priority over vital signs, consciousness, or bag volume.

Question 4 of 5

A nurse is evaluating the 24-hr 1&O records of several clients. Which of the following client findings indicates an acceptable fluid balance?

A. Intake 2,400 mL, output 2.500 mLB. Intake 1,200 mL, output 700 mLC. Intake 800 mL output 2,100 mLD. Intake 2.500 mL output 500 mL

Correct Answer: A

Rationale: A slight positive balance (+100 mL) is acceptable, unlike significant negative (-500 mL, -1300 mL) or positive (+2000 mL) imbalances.

Question 5 of 5

Magnesium is located primarily in the bones an inside cells. It is responsible for neuromuscular function. Normal magnesium (Mg+) level is

A. 0.5-1.5mEq/LB. 1.3-2.1 mEq/LC. 2.5-3.5 mEq/LD. 1.0-3.0 mEq/L

Correct Answer: B

Rationale: The normal magnesium level is 1.3-2.1 mEq/L, essential for neuromuscular function, unlike the other ranges which are too low or high.

ATI LPN Fundamentals exam VI | Nurselytic

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