ATI LPN
ATI LPN NS 117 Fundamentals Exam Questions
Extract:
Client who is receiving a unit of PRBCs
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: B
Rationale: Wheezing (
B) indicates an allergic reaction to donor blood proteins. A suggests fluid overload, C indicates circulatory overload, and D points to hemolytic reactions.
Extract:
Adolescent who is paralyzed from the waist down following a spinal cord injury
Question 2 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: C
Rationale: Catheterizing twice daily (
C) is insufficient for neurogenic bladder, risking retention; every 4–6 hours is standard. A, B, and D support healthy elimination practices.
Extract:
Client has pneumonia. The client's oxygen saturation is 85%
Question 3 of 5
A nurse is caring for a client who has pneumonia. The client's oxygen saturation is 85%. Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: Raising the head of the bed (
B) improves lung expansion, addressing hypoxia first. A, C, and D are supportive but secondary to positioning for immediate oxygenation.
Extract:
Older adult client
Question 4 of 5
A nurse is caring for an older adult client. The client has an increased risk for dehydration due to which of the following physiological changes that can occur with aging?
Correct Answer: B
Rationale: Decreased kidney function (
B) impairs fluid balance, increasing dehydration risk in older adults. A often involves increased blood pressure, C decreases with age, and D reduces, but none directly cause dehydration risk.
Extract:
Client reports constipation
Question 5 of 5
A nurse is reinforcing teaching with a client has reports constipation. Which of the following should the nurse discuss as causes of constipation? (Select all that apply.)
Correct Answer: A,C,E
Rationale: A: Ignoring urges leads to harder stools. C: Overuse of laxatives causes dependence, reducing motility. E: Low fluids harden stools. B promotes motility, preventing constipation. D, with adequate fluids, alleviates it.