ATI LPN
PN Comprehensive predictor Questions
Extract:
Question 1 of 5
A nurse is collecting data from a client who has diabetic ketoacidosis. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: Fruity breath odor results from acetone exhalation due to ketone buildup in DKA, a hallmark sign of the condition.
Question 2 of 5
A nurse enters the room of a school-age child and finds them on the floor experiencing a tonic-clonic seizure. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Placing a pillow under the head protects against injury during a seizure, a safe and effective intervention.
Question 3 of 5
A nurse is caring for a client who has an indwelling catheter with a urinary drainage system. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Securing the tubing prevents pulling or dislodgement, reducing infection risk and ensuring proper urine flow.
Question 4 of 5
A nurse overhears two assistive personnel (AP) in the nurses' station discussing a client who was recently admitted. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Stopping the conversation immediately prevents further breach of confidentiality, addressing the violation directly.
Question 5 of 5
A nurse is collecting data from a client who has heart failure and is taking furosemide. Which of the following findings should indicate to the nurse that the medication is effective?
Correct Answer: B
Rationale: Increased urinary output indicates furosemide is effectively reducing fluid retention, a primary goal in heart failure management.