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 chronic kidney disease. Which of the following findings is a manifestation of hyperkalemia?
Correct Answer: B
Rationale: Decreased deep tendon reflexes result from hyperkalemia's effect on muscle excitability due to altered membrane potential.
Question 2 of 5
A nurse is caring for a client who has COPD. The nurse should identify that the client is at risk for which of the following acid-base imbalances?
Correct Answer: B
Rationale: Respiratory acidosis is a condition in which the blood pH is lowered due to an accumulation of carbon dioxide. It can be caused by hypoventilation, airway obstruction, or lung diseases such as COPD. It is the most common acid-base imbalance in COPD patients.
Question 3 of 5
A nurse is implementing a bladder-training program for a client. For which of the following actions by the assistive personnel (AP) who is helping with the client's care should the nurse intervene?
Correct Answer: D
Rationale: Urinating whenever the urge occurs undermines bladder training, which aims to improve control, not immediate response.
Question 4 of 5
A nurse is preparing to insert an indwelling urinary catheter for a client. Which of the following actions should the nurse plan to take?
Correct Answer: A
Rationale: Donning sterile gloves is an essential step to prevent contamination and infection during the insertion of an indwelling urinary catheter. The nurse should also use aseptic technique and a sterile catheter kit.
Question 5 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.