ATI LPN
ATI PN Fundamentals 2023 NS117 Winter 2023 Monroe College NY PN Questions
Extract:
Question 1 of 5
A nurse is assisting with teaching a client who is preoperative for a sigmoid colostomy. Which of the following statements should the nurse include?
Correct Answer: D
Rationale: A sigmoid colostomy is located in the left lower abdomen, where the sigmoid colon is brought to the skin.
Question 2 of 5
A nurse is caring for an older adult client who has constipation. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Adding fluid and fiber to the diet helps soften the stool, increase bulk, and stimulate peristalsis, making it the best non-pharmacological intervention for constipation.
Question 3 of 5
A nurse is implementing a bladder-training program for a client. For which of the following actions by the assistive personnel (AP) who is helping with the client's care should the nurse intervene?
Correct Answer: D
Rationale: Urinating whenever the urge occurs undermines bladder training, which aims to improve control, not immediate response.
Question 4 of 5
A nurse is collecting data on a client who is receiving a unit of PRBCs. Which of the following findings is a manifestation of an allergic transfusion reaction?
Correct Answer: D
Rationale: Wheezing indicates an allergic reaction to the transfusion, a hypersensitivity response to donor blood components.
Question 5 of 5
A nurse is collecting data on a client who has a pleural effusion. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: Dullness percussed over the lung fields indicates the presence of fluid or a mass, such as in pleural effusion, due to the flat sound produced.