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 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 2 of 5
A nurse is assisting with teaching a client who is preoperative for a sigmoid colostomy. Which of the following statements should the nurse include?
Correct Answer: D
Rationale: A sigmoid colostomy is located in the left lower abdomen, where the sigmoid colon is brought to the skin.
Question 3 of 5
A nurse is collecting data on a client who has mitral valve stenosis. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: A heart murmur results from turbulent blood flow through the narrowed mitral valve, a hallmark of mitral valve stenosis.
Question 4 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 5 of 5
A nurse is caring for a client who has a prescription for a stool guaiac test. The client asks the nurse about the purpose of the test. The nurse should respond by stating that the stool guaiac is testing for which of the following findings in the client's feces?
Correct Answer: D
Rationale: The stool guaiac test detects blood in the feces by reacting with hemoglobin, indicating potential gastrointestinal bleeding.