ATI LPN
ATI PN Fundamentals 2023 NS117 Winter 2023 Monroe College NY PN Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has nausea and is vomiting. The nurse should identify that the client is at risk for which of the following acid-base imbalances?
Correct Answer: A
Rationale: Metabolic alkalosis is a condition in which the blood pH is elevated due to an excess of bicarbonate or a loss of acid. It can be caused by nausea and vomiting, as they result in the loss of gastric acid and the retention of bicarbonate.
Question 2 of 5
A nurse is assisting with teaching a class about pulmonary circulation. The nurse should include that blood flows from the heart to the lungs from the right ventricle starting from which of the following locations?
Correct Answer: A
Rationale: The pulmonary artery is the large blood vessel that carries deoxygenated blood from the right ventricle to the lungs for gas exchange. It is the only artery that carries deoxygenated blood in the body.
Question 3 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 4 of 5
A nurse is caring for a client who reports constipation. The provider has prescribed an enema. Identify the sequence of steps the nurse should take to administer the enema.
Correct Answer: A,B,C,D
Rationale: Confirming the client's identity is the first step to ensure safety. Providing privacy respects dignity. The Sims' position facilitates insertion, followed by inserting the tubing to administer the enema.
Question 5 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.