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 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 3 of 5
A charge nurse in a long-term care facility is observing another nurse who is inserting an indwelling urinary catheter into a female client. Which of the following actions by the nurse should prompt the charge nurse to intervene?
Correct Answer: C
Rationale: Separating the labia with the dominant hand violates sterile technique; the non-dominant hand should be used.
Question 4 of 5
A nurse is collecting data on a client who has circulatory overload. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Tachycardia occurs as the heart pumps faster to manage excess fluid volume in circulatory overload.
Question 5 of 5
A nurse is assisting with the care of a school-age child who has respiratory failure due to pneumonia. Which of the following positions should the nurse encourage to allow maximal lung expansion?
Correct Answer: D
Rationale: The upright position enhances lung compliance and gas exchange, maximizing lung expansion.