ATI LPN
ATI LPN Fundamentals exam VI Questions
Extract:
Question 1 of 5
A nurse is preparing to administer heparin subcutaneously to an obese client who has a deep vein thrombosis. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: A 90° angle suits obese clients' thicker subcutaneous tissue, unlike a larger gauge needle, massaging (risks bruising), or aspirating (unnecessary).
Question 2 of 5
A nurse is reinforcing teaching with a client who has a new prescription for pantoprazole for heartburn. Which of the following information should the nurse include?
Correct Answer: A
Rationale: Pantoprazole, a PPI, reduces gastric acid production, not causing hyperkalemia, and is best taken before meals, not at bedtime or post-eating.
Question 3 of 5
A nurse is mentoring a new nurse who is learning to start IVs. The nurse tells the new nurse that in case the patient needs subsequent venipuncture sites, the best place to initially start an IV is the:
Correct Answer: A
Rationale: Starting distally on the nondominant arm preserves proximal sites for future use, minimizing discomfort and complications.
Question 4 of 5
A nurse is monitoring a client's IV site. The nurse should report which of the following findings as manifestations of phlebitis?
Correct Answer: A,B,D
Rationale: Streak formation, erythema, and warmth indicate vein inflammation in phlebitis, unlike blistering or dampness which suggest other issues.
Question 5 of 5
A nurse identifies an extravasation of a vesicant solution at a client's peripheral IV catheter's insertion site. Identify the sequence in which the nurse should perform the following actions.
Correct Answer: D,E,C,A,B
Rationale: Stopping the infusion (
D) prevents further damage, attaching a syringe (E) and aspirating (
C) removes vesicant, disconnecting tubing (
A) and removing the catheter (
B) finalize the process.