ATI LPN
ATI LPN NS 117 Fundamentals Exam Questions
Extract:
Client has a chest tube
Question 1 of 5
A nurse is assisting with the care of a client who has a chest tube. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Taping connections (
C) prevents accidental disconnection, maintaining the system’s integrity. A can cause kinks, obstructing drainage. B risks lung damage from excessive pressure. D prevents gravity drainage, risking fluid backflow.
Extract:
Client who is receiving a unit of PRBCs
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: B
Rationale: Wheezing (
B) indicates an allergic reaction to donor blood proteins. A suggests fluid overload, C indicates circulatory overload, and D points to hemolytic reactions.
Extract:
Client has pneumonia. The client's oxygen saturation is 85%
Question 3 of 5
A nurse is caring for a client who has pneumonia. The client's oxygen saturation is 85%. Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: Raising the head of the bed (
B) improves lung expansion, addressing hypoxia first. A, C, and D are supportive but secondary to positioning for immediate oxygenation.
Extract:
Client who has circulatory overload
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: C
Rationale: Tachycardia (
C) occurs as the heart compensates for increased volume in circulatory overload. A, B, and D contrast with expected findings like hypertension and weight gain.
Extract:
Client who has an ileal conduit following bladder cancer
Question 5 of 5
A nurse is providing teaching for a client who has an ileal conduit following bladder cancer. Which of the following statements by the client indicates a need for the nurse to provide additional teaching?
Correct Answer: D
Rationale: Catheterizing the stoma (
D) is incorrect; ileal conduits drain continuously into a pouch. A, B, and C are correct for pouch use, stoma sizing, and hygiene.