ATI LPN
ATI LPN Fundamentals exam VI Questions
Extract:
Question 1 of 5
A nurse is evaluating the 24-hr 1&O records of several clients. Which of the following client findings indicates an acceptable fluid balance?
Correct Answer: A
Rationale: A slight positive balance (+100 mL) is acceptable, unlike significant negative (-500 mL, -1300 mL) or positive (+2000 mL) imbalances.
Question 2 of 5
For a patient who is experiencing an ECV excess, the nurse plans to determine the fluid status. The best way for the nurse to determine the fluid balance for the patient is to:
Correct Answer: B
Rationale: Daily weights directly measure fluid balance changes, providing a more precise assessment than tests, intake monitoring, or vital signs alone.
Question 3 of 5
A nurse is reviewing a client's peak and trough levels of gentamicin. The peak should be 6 to 8 mcg/mL and the trough should be 0.5 to 1 mcg/mL. The client's peak is10 mcg/mL and his trough is 2.3 mcg/mL. Which of the following clinical manifestations should the nurse expect with these findings?
Correct Answer: D,E
Rationale: Elevated gentamicin levels can cause neurotoxicity (headache) and ototoxicity (tinnitus), not insomnia, constipation, or dry mouth.
Question 4 of 5
A nurse is caring for an 8-month-old infant who is receiving intravenous (IV) fluids via a 24-gauge catheter. Which of the following statements by the client's mother indicates that the nurse should check the site for signs of infiltration?
Correct Answer: B
Rationale: Swollen fingers suggest infiltration as fluid leaks into tissues, unlike blood backup (clot/flow issue), red streak (phlebitis), or loose tape (security issue).
Question 5 of 5
A nurse is assisting with supervising a newly licensed nurse replace a short-peripheral IV device for a client. Which of the following actions by the new nurse indicates an understanding of the procedure?
Correct Answer: C
Rationale: Wearing clean gloves maintains asepsis, unlike leaving air bubbles (embolism risk), distal insertion (should be proximal), or shaving (infection risk).