ATI LPN
ATI PN Fundamentals 2023 NS117 Winter 2023 Monroe College NY PN Questions
Extract:
Question 1 of 5
A nurse is collecting data on a client who has a pleural effusion. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: Dullness percussed over the lung fields indicates the presence of fluid or a mass, such as in pleural effusion, due to the flat sound produced.
Question 2 of 5
A nurse is assisting with the care of a client who has a chest tube. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Taping the connections prevents air leaks and disconnections, ensuring the chest tube functions properly.
Question 3 of 5
A nurse is collecting data on a client who has urinary retention. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Leakage of urine indicates bladder overdistension and inability to empty completely, a common sign of urinary retention.
Question 4 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.
Question 5 of 5
A nurse is assisting in the care of a client who has diabetic ketoacidosis and hypoxia. Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: Obtaining supplemental oxygen addresses hypoxia, a life-threatening condition, making it the priority action.