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 oxygen toxicity. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Muscle twitching is a sign of central nervous system oxygen toxicity, which can occur when breathing high concentrations of oxygen under pressure. It can also cause seizures, confusion, and loss of consciousness.
Question 2 of 5
A nurse is caring for a client who reports constipation. The provider has prescribed an enema. Identify the sequence of steps the nurse should take to administer the enema.
Correct Answer: A,B,C,D
Rationale: Confirming the client's identity is the first step to ensure safety. Providing privacy respects dignity. The Sims' position facilitates insertion, followed by inserting the tubing to administer the enema.
Question 3 of 5
A nurse is reinforcing teaching about elimination with an adolescent who is paralyzed from the waist down following a spinal cord injury. Which of the following statements by the adolescent indicates a need for further teaching?
Correct Answer: B
Rationale: Using a suppository every night indicates a dependence on laxatives and a lack of bowel training, suggesting the need for further education on establishing a natural bowel routine.
Question 4 of 5
A nurse is caring for an older adult client who has constipation. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Adding fluid and fiber to the diet helps soften the stool, increase bulk, and stimulate peristalsis, making it the best non-pharmacological intervention for constipation.
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.