Questions 374

ATI LPN

ATI LPN Test Bank

PN Comprehensive Predictor 2020 Questions

Extract:


Question 1 of 5

A nurse is assisting with the care of a client who is postoperative following a nephrectomy. Which of the following actions should the nurse take?

Correct Answer: A

Rationale: Post-nephrectomy, monitoring urinary output from the remaining kidney ensures function. Supine isn't required, diet adjusts gradually, and deep breathing prevents complications.

Question 2 of 5

A nurse is collecting data from a client who reports recent weight loss. Which of the following findings should indicate to the nurse that the client is dehydrated?

Correct Answer: C

Rationale: Dry mucous membranes are a key sign of dehydration due to reduced fluid volume. Quick refill, distended veins, and strong pulses suggest adequate hydration.

Question 3 of 5

A nurse is reinforcing teaching with a client who has a new prescription for a metered-dose inhaler. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer: B

Rationale: Rinsing the mouth prevents irritation or infection from residual medication. Waiting time is typically 30-60 seconds, one depression per puff, and breath-holding aids absorption.

Question 4 of 5

A nurse is assisting with the care of a client who is postoperative following a TURP. Which of the following actions should the nurse take?

Correct Answer: A

Rationale: Post-TURP, hourly urine output monitoring ensures patency and detects bleeding. Ambulation, gradual diet, and breathing exercises are standard.

Extract:

Vital Signs
05:00
Temperature 36.6 C (97.9 F)
Heart rate 100/min
Respiratory rate 22/min
Blood pressure 160/98 mm Hg
Oxygen saturation 96% on oxygen 2 L/min via nasal cannula
14:00
Temperature 36.8 C (98.3 F)
Heart rate 90/min
Respiratory rate 18/min
Blood pressure 138/88 mm Hg
Oxygen saturation 97% on oxygen 2 L/min via nasal cannula


Question 5 of 5

A nurse is assisting with the care of a client in a medical-surgical unit. Vital Signs 05:00 Temperature 36.6 C (97.9 F) Heart rate 100/min Respiratory rate 22/min Blood pressure 160/98 mm Hg Oxygen saturation 96% on oxygen 2 L/min via nasal cannula 14:00 Temperature 36.8 C (98.3 F) Heart rate 90/min Respiratory rate 18/min Blood pressure 138/88 mm Hg Oxygen saturation 97% on oxygen 2 L/min via nasal cannula Which of the following actions should the nurse take to decrease the risks for a urinary tract infection for this client? Select all that apply.

Correct Answer: A,D,E,F

Rationale: High fluid intake flushes bacteria, frequent emptying prevents growth, daily review minimizes catheter use, and soap/water cleaning reduces infection risk. Tubing changes and bag placement increase risk.

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