ATI LPN
ATI LPN NS 117 Fundamentals Exam Questions
Extract:
Client who has respiratory acidosis
Question 1 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: B
Rationale: Lethargy (
B) results from CO2 buildup impairing brain oxygenation in respiratory acidosis. A indicates alkalosis, C and D are unrelated to this condition.
Extract:
Client has urinary leakage due to nerve damage following a spinal cord injury
Question 2 of 5
A nurse is caring for a client who has urinary leakage due to nerve damage following a spinal cord injury. The nurse should identify that the client is experiencing which of the following types of urinary incontinence?
Correct Answer: A
Rationale: Reflex incontinence (
A) results from involuntary bladder contractions due to nerve damage, typical in spinal cord injuries. B occurs with physical pressure, C with sudden urges, and D with bladder overfilling, none matching the scenario.
Extract:
None
Question 3 of 5
A charge nurse in a long-term care facility is observing another nurse who is inserting an indwelling urinary catheter into a female client. Which of the following actions by the nurse should prompt the charge nurse to intervene?
Correct Answer: B
Rationale: Using the dominant hand to separate labia (
B) contaminates the sterile hand, risking infection. A, C, and D are correct sterile technique steps.
Extract:
Client who has circulatory overload
Question 4 of 5
A nurse is collecting data on a client who has circulatory overload. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: Tachycardia (
C) occurs as the heart compensates for increased volume in circulatory overload. A, B, and D contrast with expected findings like hypertension and weight gain.
Extract:
Infant has a prescription for home oxygen and pulse oximetry monitoring
Question 5 of 5
A nurse is reinforcing discharge teaching with the parents of an infant who has a prescription for home oxygen and pulse oximetry monitoring. Which of the following statements by the parents indicates a need for further teaching?
Correct Answer: D
Rationale: A reading of 100% (
D) is likely inaccurate for an oxygen-dependent infant, suggesting malfunction or misplacement, requiring clarification. A, B, and C are correct: rotating the probe prevents skin damage, finger/toe placement is appropriate, and movement affects accuracy.