ATI LPN
ATI PN Fundamentals 2023 NS117 Winter 2023 Monroe College NY PN Questions
Extract:
Question 1 of 5
A nurse is reinforcing teaching with a client who has a prescription for home oxygen therapy. Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: Keeping oxygen tanks 4 feet away from an electric stove is a safety measure for home oxygen therapy. Oxygen is a flammable gas and can cause a fire or explosion if exposed to heat or sparks.
Question 2 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.
Question 3 of 5
A nurse is collecting data on a client who has chronic kidney disease. Which of the following findings is a manifestation of hyperkalemia?
Correct Answer: B
Rationale: Decreased deep tendon reflexes result from hyperkalemia's effect on muscle excitability due to altered membrane potential.
Question 4 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 5 of 5
A nurse is assisting with the care of a client who is placed on supplemental oxygen for hypoxia. The nurse should identify that which of the following findings indicate the intervention was effective?
Correct Answer: B
Rationale: Pink mucous membranes indicate adequate tissue oxygenation, showing the effectiveness of oxygen therapy.