ATI LPN
ATI PN Fundamentals 2023 NS117 Winter 2023 Monroe College NY PN Questions
Extract:
Question 1 of 5
A nurse is assisting with the implementation of a bowel training program for a client. For the program to be effective, the nurse should take the client to the bathroom at which of the following times?
Correct Answer: B
Rationale: Responding to the urge reinforces natural bowel patterns, enhancing the effectiveness of bowel training.
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 nurse is reinforcing teaching about elimination with an adolescent who is paralyzed from the waist down following a spinal cord injury. Which of the following statements by the adolescent indicates a need for further teaching?
Correct Answer: B
Rationale: Using a suppository every night indicates a dependence on laxatives and a lack of bowel training, suggesting the need for further education on establishing a natural bowel routine.
Question 4 of 5
A nurse is collecting data on a client who has oxygen toxicity. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Muscle twitching is a sign of central nervous system oxygen toxicity, which can occur when breathing high concentrations of oxygen under pressure. It can also cause seizures, confusion, and loss of consciousness.
Question 5 of 5
A nurse is collecting data on a client who has diarrhea. Which of the following findings is a manifestation of hypokalemia?
Correct Answer: C
Rationale: Muscle weakness occurs in hypokalemia due to potassium's role in muscle function, disrupted by low levels.