ATI LPN NS 117 Fundamentals Exam

Extract:

None

Question 1 of 5

A nurse is preparing to insert an indwelling urinary catheter for a client. Which of the following actions should the nurse plan take?

A. Use one cotton swab to clean the client's urinary meatus.B. Don sterile gloves before inserting the indwelling urinary catheter.C. Test the balloon on the indwelling urinary catheter before insertion.D. Apply an oil-based lubricant to the indwelling urinary catheter.

Correct Answer: B

Rationale: Sterile gloves (
B) maintain asepsis, preventing UTIs during catheter insertion. A compromises cleanliness, C risks balloon damage, and D is unsafe as only water-based lubricants are appropriate.

Extract:

Client reports constipation

Question 2 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.)

A. Ignoring the urge to defecateB. Increased activityC. Excessive laxative useD. Increased fiber in the dietE. Inadequate fluid intake

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.

Extract:

Client who has COPD

Question 3 of 5

A nurse is reinforcing teaching with a client who has COPD about purse-lipped breathing. Which of the following statements should the nurse make?

A. Your inspiration should be longer than expiration during purse-lipped breathing.'B. You should inhale through your nose and exhale through your mouth during purse-lipped breathing.'C. You should cough forcefully during exhalation when you are purse-lipped breathing.'D. You should be flat on your back when you perform purse-lipped breathing.'

Correct Answer: B

Rationale: Inhaling through the nose and exhaling through pursed lips (
B) prevents air trapping. A reverses timing, C disrupts technique, and D limits lung expansion.

Extract:

Client has nausea and is vomiting

Question 4 of 5

A nurse is caring for a client who has nausea and is vomiting. The nurse should identify the client is at risk for which of the following acid-base imbalances?

A. Respiratory acidosisB. Metabolic AcidosisC. Metabolic alkalosisD. Respiratory alkalosis

Correct Answer: C

Rationale: Vomiting causes loss of gastric acid, leading to metabolic alkalosis (
C). A and D involve respiratory issues, and B results from acid gain or bicarbonate loss.

Extract:

Older adult client who has constipation

Question 5 of 5

A nurse is caring for an older adult client who has constipation. Which of the following actions should the nurse take?

A. Add fluid and fiber to the diet.B. Avoid gas-producing foods.C. Request that the provider prescribe a stool softener.D. Promote active range-of-motion activities.

Correct Answer: A

Rationale: Fluid and fiber (
A) soften stools and promote regularity, the most effective initial action. B, C, and D are secondary or less impactful.

ATI LPN NS 117 Fundamentals Exam | Nurselytic

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