ATI LPN
ATI PN Fundamentals 2023 NS117 Winter 2023 Monroe College NY PN Questions
Extract:
Question 1 of 5
A nurse is providing teaching for a client who has an ileal conduit following bladder cancer. Which of the following statements by the client indicates a need for the nurse to provide additional teaching?
Correct Answer: A
Rationale: Catheterizing the stoma is incorrect, as urine flows continuously into the pouch, indicating a need for further teaching.
Question 2 of 5
A nurse is assisting with teaching a client who is preoperative for a sigmoid colostomy. Which of the following statements should the nurse include?
Correct Answer: D
Rationale: A sigmoid colostomy is located in the left lower abdomen, where the sigmoid colon is brought to the skin.
Question 3 of 5
A charge nurse in a long-term care facility is observing another nurse who is inserting an indwelling urinary catheter into a female client. Which of the following actions by the nurse should prompt the charge nurse to intervene?
Correct Answer: C
Rationale: Separating the labia with the dominant hand violates sterile technique; the non-dominant hand should be used.
Question 4 of 5
A nurse is collecting data on a client who has a pleural effusion. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: Dullness percussed over the lung fields indicates the presence of fluid or a mass, such as in pleural effusion, due to the flat sound produced.
Question 5 of 5
A nurse is collecting data on a client who has oxygen toxicity. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Muscle twitching is a sign of central nervous system oxygen toxicity, which can occur when breathing high concentrations of oxygen under pressure. It can also cause seizures, confusion, and loss of consciousness.