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 paraplegia and is on an intermittent urinary catheterization program. Which of the following findings indicates to the nurse the need to catheterize the client?
Correct Answer: D
Rationale: Suprapubic discomfort indicates bladder distension, signaling the need for catheterization to relieve urinary retention.
Question 2 of 5
A nurse is assisting in the care of a client who has diabetic ketoacidosis and hypoxia. Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: Obtaining supplemental oxygen addresses hypoxia, a life-threatening condition, making it the priority action.
Question 3 of 5
A nurse is obtaining a urine specimen for culture and sensitivity via a straight catheterization. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Using a sterile specimen container ensures the sample remains uncontaminated for accurate culture results.
Question 4 of 5
A nurse is preparing to insert an indwelling urinary catheter for a client. Which of the following actions should the nurse plan to take?
Correct Answer: A
Rationale: Donning sterile gloves is an essential step to prevent contamination and infection during the insertion of an indwelling urinary catheter. The nurse should also use aseptic technique and a sterile catheter kit.
Question 5 of 5
A nurse is collecting data on a client who has chronic kidney disease. Which of the following findings is a manifestation of hyperkalemia?
Correct Answer: B
Rationale: Hyperkalemia causes decreased deep tendon reflexes by interfering with nerve and muscle function due to high potassium levels.