ATI LPN
ATI LPN n117 fundamentals exam Questions
Extract:
Question 1 of 5
A nurse is collecting data on a client who is experiencing hypervolemia. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Peripheral edema occurs in hypervolemia as excess fluid accumulates in tissues.
Question 2 of 5
A nurse is collecting data on a client who has a stage 2 pressure injury. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Stage 2 pressure injuries show partial-thickness loss with a red wound bed, indicating damage to epidermis and possibly dermis.
Question 3 of 5
A nurse is collecting data from a client who has diabetes mellitus and reports foot pain. The nurse should evaluate the client for which of the following alterations as indications that the client has an infection? (Select all that apply.)
Correct Answer: D,E
Rationale: D: An increase in neutrophils is a common response to bacterial infection. E: Localized edema indicates inflammation from infection. A, B, and C are not typical infection signs.
Question 4 of 5
A nurse is reinforcing teaching about the manifestations of hyperglycemia with a client who has diabetes mellitus. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: B
Rationale: Increased thirst (polydipsia) is a classic hyperglycemia symptom due to dehydration from glucose excretion.
Question 5 of 5
A nurse is preparing for a client who is at risk for a pressure injury. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: A high-calorie diet supports skin integrity and healing, reducing pressure injury risk.