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 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 2 of 5
A nurse is assisting with teaching a class about pulmonary circulation. The nurse should include that blood flows from the heart to the lungs from the right ventricle starting from which of the following locations?
Correct Answer: A
Rationale: The pulmonary artery is the large blood vessel that carries deoxygenated blood from the right ventricle to the lungs for gas exchange. It is the only artery that carries deoxygenated blood in the body.
Question 3 of 5
A nurse is collecting data on a client who has respiratory acidosis. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: Lethargy indicates low oxygen and high carbon dioxide levels in the brain, a common sign of respiratory acidosis.
Question 4 of 5
A nurse is collecting data on a client who is receiving a unit of PRBCs. Which of the following findings is a manifestation of an allergic transfusion reaction?
Correct Answer: D
Rationale: Wheezing indicates an allergic reaction to the transfusion, a hypersensitivity response to donor blood components.
Question 5 of 5
A nurse is caring for a client who has pneumonia and has been receiving oxygen therapy for several days. When collecting data from the client, the nurse should identify which of the following findings as an indication of an adverse effect of oxygen therapy?
Correct Answer: B
Rationale: Cracks in oral mucous membranes indicate dryness from oxygen therapy, an adverse effect due to reduced moisture.