ATI LPN
ATI PN Fundamentals 2023 NS117 Winter 2023 Monroe College NY PN Questions
Extract:
Question 1 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 2 of 5
A nurse is collecting data on a client who has circulatory overload. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Tachycardia occurs as the heart pumps faster to manage excess fluid volume in circulatory overload.
Question 3 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 4 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: B
Rationale: Using a suppository every night indicates a dependence on laxatives and a lack of bowel training, suggesting the need for further education on establishing a natural bowel routine.
Question 5 of 5
A nurse is collecting data on a client who has mitral valve stenosis. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: A heart murmur results from turbulent blood flow through the narrowed mitral valve, a hallmark of mitral valve stenosis.