ATI LPN
PN Fundamentals 2023 Questions
Extract:
Question 1 of 4
A nurse at a long-term care facility is caring for an older adult client who has dementia and is at risk for malnutrition. Which of the following actions should the nurse take to promote an increase in food intake?
Correct Answer: A
Rationale: Finger foods enhance self-feeding and intake in dementia clients.
Question 2 of 4
The client is at risk for developing ___ as evidenced by the client's ___
Correct Answer: A,B
Rationale: A: Chemotherapy lowers immunity, increasing infection risk. B: Decreased WBC count (4,000/mm³) indicates leukopenia.
Question 3 of 4
Findings that require immediate follow-up: deep tendon reflexes 4+, generalized weakness, mild leg cramping, heart rate irregular, bowel sounds hyperactive x 4 quadrants
Correct Answer: A,B,C,D,E
Rationale: A: Hyperreflexia suggests magnesium deficiency. B,C: Weakness and cramping indicate electrolyte issues. D: Irregular heart rate risks arrhythmia. E: Hyperactive bowels may relate to vomiting.
Question 4 of 4
The client is at risk for ___ as evidenced by the client's ___
Correct Answer: A,B
Rationale: A: Dysphagia increases aspiration risk. B: Food stuck in mouth and hoarseness indicate swallowing difficulty.
Question 5 of 4
A nurse is collecting data from a client who has hypomagnesemia. Which of the following findings should the nurse identify as a positive Chvostek's sign?
Correct Answer: C
Rationale: A positive Chvostek's sign (twitching of facial muscles when tapping the facial nerve) is associated with hypomagnesemia; assumed as C due to incomplete options.