ATI LPN
ATI LPN Fundamentals exam VI Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is receiving a continuous IV infusion through a short-peripheral device. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Changing IV solution every 48-72 hr reduces infection risk, unlike less frequent tubing changes or unnecessary frequent dressing/site checks.
Question 2 of 5
A nurse is assisting in the plan of care for a client who has hypernatremia. Which of the following IV solutions should the nurse plan to initiate?
Correct Answer: C
Rationale: D5W provides free water to dilute high sodium levels in hypernatremia, unlike albumin, D10W, or dextran which don't correct sodium effectively.
Question 3 of 5
If the nurse needs to administer a 2 mL injection what size syringe is most appropriate to use?
Correct Answer: A
Rationale: A 5 mL syringe accommodates 2 mL with extra space for accuracy, unlike 1 mL (too small), 10 mL (too large), or 3 mL (less optimal).
Question 4 of 5
A nurse is reviewing a client's peak and trough levels of gentamicin. The peak should be 6 to 8 mcg/mL and the trough should be 0.5 to 1 mcg/mL. The client's peak is10 mcg/mL and his trough is 2.3 mcg/mL. Which of the following clinical manifestations should the nurse expect with these findings?
Correct Answer: D,E
Rationale: Elevated gentamicin levels can cause neurotoxicity (headache) and ototoxicity (tinnitus), not insomnia, constipation, or dry mouth.
Question 5 of 5
A nurse is evaluating the 24-hr 1&O records of several clients. Which of the following client findings indicates an acceptable fluid balance?
Correct Answer: A
Rationale: A slight positive balance (+100 mL) is acceptable, unlike significant negative (-500 mL, -1300 mL) or positive (+2000 mL) imbalances.