ATI LPN
ATI LPN n117 fundamentals exam Questions
Extract:
Question 1 of 5
A nurse is collecting data from a client who has diabetes mellitus and reports foot pain. The nurse should evaluate the client for which of the following alterations as indications that the client has an infection? (Select all that apply.)
Correct Answer: D,E
Rationale: D: An increase in neutrophils is a common response to bacterial infection. E: Localized edema indicates inflammation from infection. A, B, and C are not typical infection signs.
Question 2 of 5
A nurse is teaching the parents of a child who has diabetes mellitus about the manifestations of hypoglycemia. Which of the following manifestations should the nurse include in the teaching?
Correct Answer: C
Rationale: Diaphoresis (sweating) is a classic sign of hypoglycemia due to sympathetic nervous system activation, unlike fruity breath (hyperglycemia) or polyuria (hyperglycemia).
Question 3 of 5
A nurse is reinforcing teaching with a client who is scheduled for abdominal surgery about coughing and deep breathing. Which of the following statements should the nurse make?
Correct Answer: D
Rationale: Splinting the incision with a pillow reduces pain and supports the surgical site during coughing, enhancing effectiveness post-surgery.
Question 4 of 5
A nurse is assisting with the care of a client who arrives at the emergency department after an industrial explosion. The nurse inspects the wound on the client's leg and finds torn skin tissue underneath. The nurse should report this as which of the following types of wounds?
Correct Answer: C
Rationale: Laceration involves torn skin with irregular edges, matching the description of torn tissue from an explosion.
Question 5 of 5
A nurse is collecting data on a client who has a stage 2 pressure injury. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Stage 2 pressure injuries show partial-thickness loss with a red wound bed, indicating damage to epidermis and possibly dermis.