ATI LPN
ATI LPN Comprehensive Predictor 2023 Exam 3 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is receiving IV fluids. Which of the following findings indicates the client is experiencing fluid overload?
Correct Answer: D
Rationale: Distended neck veins indicate fluid overload, reflecting increased venous pressure. Normal BP, mild tachypnea, or thirst don't specifically signal overload.
Question 2 of 5
A nurse is caring for a client who is postoperative following a bowel resection. Which of the following findings should the nurse report to the provider?
Correct Answer: C
Rationale: Redness and warmth at the incision suggest infection, requiring prompt reporting. Mild discomfort, hypoactive sounds, and flatus are expected post-resection.
Question 3 of 5
A nurse is contributing to the plan of care for a client who has a chest tube set to continuous suction to relieve a pneumothorax. Which of the following interventions should the nurse include?
Correct Answer: B
Rationale: Keeping the drainage system below chest level ensures proper drainage and prevents backflow. Supine positioning may hinder drainage, routine emptying isn't needed, and clamping can interfere with suction.
Question 4 of 5
A nurse is collecting data for a client who is receiving enteral tube feedings. The nurse should identify that which of the following findings is a manifestation of fluid overload?
Correct Answer: D
Rationale: Crackles in the lungs indicate pulmonary edema from fluid overload. Weight loss, low blood pressure, or poor skin turgor suggest dehydration, not overload.
Question 5 of 5
A nurse is caring for a client who is receiving IV vancomycin. Which of the following findings should the nurse report to the provider?
Correct Answer: C
Rationale: Redness and warmth at the infusion site suggest phlebitis or infiltration, requiring reporting. Itching, normal urine output, and stable BP are less concerning.