ATI LPN
PN Fundamentals 2023 Questions
Extract:
Question 1 of 5
A nurse is assisting with feeding a client who has had a stroke. Which of the following findings should the nurse identify as a manifestation of dysphagia?
Correct Answer: B
Rationale: A garbled or 'wet' voice indicates difficulty swallowing, a sign of dysphagia.
Question 2 of 5
A nurse in a provider's office is collecting data from an older adult client. The client states that he is having difficulty sleeping. Which of the following strategies should the nurse recommend to promote sleep?
Correct Answer: A
Rationale: Milk contains tryptophan, which promotes sleepiness.
Question 3 of 5
A nurse is preparing to provide tracheostomy care to a client who has a chronic tracheostomy. In which order should the nurse complete the following steps?
Correct Answer: E,D,A,B,C
Rationale: E: Prepare solution. D: Remove cannula. A: Scrub cannula. B: Wipe cannula. C: Cleanse stoma maintains sterility.
Question 4 of 5
Which of the following actions should the nurse take to promote the client's respiratory status? Select all that apply.
Correct Answer: A,D,E,F
Rationale: A: Splinting reduces pain during coughing. D: Incentive spirometry prevents atelectasis. E: Coughing and deep breathing clear secretions. F: Ambulation post-analgesic promotes lung expansion.
Question 5 of 5
A nurse is planning to obtain a client's oxygen saturation. Which of the following might influence the result of this test?
Correct Answer: B
Rationale: Nail polish, especially dark colors, can block the pulse oximeter sensor, affecting accuracy.