ATI LPN
ATI PN Fundamentals 2023 NS117 Winter 2023 Monroe College NY PN Questions
Extract:
Question 1 of 5
A nurse is reinforcing discharge teaching with the parents of an infant who has a prescription for home oxygen and pulse oximetry monitoring. Which of the following statements by the parents indicates a need for further teaching?
Correct Answer: B
Rationale: Notifying the doctor for a 100% reading indicates a misunderstanding, as this is within the normal range (95-100%) for infants.
Question 2 of 5
A nurse is preparing to remove a client's urinary catheter. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Deflating the balloon halfway ensures smooth removal without trauma to the urethra.
Question 3 of 5
A nurse is caring for an older adult client who has constipation. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Adding fluid and fiber to the diet helps soften the stool, increase bulk, and stimulate peristalsis, making it the best non-pharmacological intervention for constipation.
Question 4 of 5
A nurse is collecting data on a client who has respiratory acidosis. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: Lethargy indicates low oxygen and high carbon dioxide levels in the brain, a common sign of respiratory acidosis.
Question 5 of 5
A nurse is caring for a client who has nausea and is vomiting. The nurse should identify that the client is at risk for which of the following acid-base imbalances?
Correct Answer: A
Rationale: Metabolic alkalosis is a condition in which the blood pH is elevated due to an excess of bicarbonate or a loss of acid. It can be caused by nausea and vomiting, as they result in the loss of gastric acid and the retention of bicarbonate.