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 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 2 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 3 of 5
A nurse is assisting with the care of a school-age child who has respiratory failure due to pneumonia. Which of the following positions should the nurse encourage to allow maximal lung expansion?
Correct Answer: D
Rationale: The upright position enhances lung compliance and gas exchange, maximizing lung expansion.
Question 4 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.
Question 5 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: Hyperkalemia causes decreased deep tendon reflexes by interfering with nerve and muscle function due to high potassium levels.