ATI LPN
ATI LPN Fundamentals exam VI Questions
Extract:
Question 1 of 5
A nurse is preparing to administer the hepatitis B vaccine to a client. Which of the following techniques should the nurse use to locate the deltoid muscle?
Correct Answer: B
Rationale: The deltoid is located 3 fingerbreadths below the acromion process on the lateral upper arm, not in the thigh or mid-arm.
Question 2 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 3 of 5
A nurse is reinforcing teaching with a group of newly licensed nurses about preventing needlestick injuries. Which of the following actions should the nurse recommend?
Correct Answer: A
Rationale: Not recapping ABG needles reduces needlestick risk, unlike unsafe recapping, wastebasket disposal, or breaking needles.
Question 4 of 5
A nurse is collecting data from an older adult client who is receiving ondansetron IV, has a history of diabetes mellitus and cardiac myopathy, and is receiving chemotherapy to treat cancer. For which of the following adverse effects of ondansetron should the nurse monitor?
Correct Answer: A,D
Rationale: Diarrhea and headache are common ondansetron side effects, unlike hyperglycemia or PR interval changes (QT prolongation is more typical).
Question 5 of 5
A charge nurse is observing a nurse performing a Mantoux tuberculin skin test for a client. Which of the following actions should prompt the charge nurse to intervene?
Correct Answer: D
Rationale: Massaging after injection disperses PPD, affecting test accuracy, unlike the correct bleb size, avoiding needle tip visualization, and stretching skin which are proper techniques.