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 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 2 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 3 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.
Question 4 of 5
A nurse is implementing a bladder-training program for a client. For which of the following actions by the assistive personnel (AP) who is helping with the client's care should the nurse intervene?
Correct Answer: D
Rationale: Urinating whenever the urge occurs undermines bladder training, which aims to improve control, not immediate response.
Question 5 of 5
A nurse is reinforcing teaching with a client about foods and beverages that can cause diarrhea. Which of the following should the nurse include in the teaching?
Correct Answer: A
Rationale: Caffeinated beverages stimulate intestinal motility and increase fluid loss, contributing to diarrhea.