Questions 43

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ATI LPN Test Bank

ATI PN Fundamentals 2023 NS117 Winter 2023 Monroe College NY PN Questions

Extract:


Question 1 of 5

A nurse is reinforcing teaching about elimination with an adolescent who is paralyzed from the waist down following a spinal cord injury. Which of the following statements by the adolescent indicates a need for further teaching?

Correct Answer: B

Rationale: Using a suppository every night indicates a dependence on laxatives and a lack of bowel training, suggesting the need for further education on establishing a natural bowel routine.

Question 2 of 5

A nurse is caring for a client who has paraplegia and is on an intermittent urinary catheterization program. Which of the following findings indicates to the nurse the need to catheterize the client?

Correct Answer: D

Rationale: Suprapubic discomfort indicates bladder distension, signaling the need for catheterization to relieve urinary retention.

Question 3 of 5

A nurse is collecting data on a client who has diarrhea. Which of the following findings is a manifestation of hypokalemia?

Correct Answer: C

Rationale: Muscle weakness occurs in hypokalemia due to potassium's role in muscle function, disrupted by low levels.

Question 4 of 5

A nurse is assisting in the care of a client who has diabetic ketoacidosis and hypoxia. Which of the following actions should the nurse take first?

Correct Answer: B

Rationale: Obtaining supplemental oxygen addresses hypoxia, a life-threatening condition, making it the priority action.

Question 5 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.

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