ATI LPN NS 117 Fundamentals Exam

Extract:

None

Question 1 of 5

A nurse is reinforcing teaching with a newly licensed nurse about obtaining a fecal occult blood test from a client. Which of the following information should the nurse include?

A. Use toilet paper to transfer the stool specimen.B. Collect two stool specimens from the same area of the stool.C. Apply four drops of developing solution to each stool specimen.D. Wait 30 seconds after applying the developing solution to obtain the results.

Correct Answer: D

Rationale: Waiting 30 seconds (
D) ensures accurate reaction for blood detection. A risks contamination, B reduces accuracy, and C varies by kit instructions.

Extract:

Infant has a prescription for home oxygen and pulse oximetry monitoring

Question 2 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?

A. We will rotate the probe of the pulse oximeter every 24 hours.'B. The probe of the pulse oximeter can be applied to a finger or a toe.'C. The pulse oximeter might not be accurate during times of excessive movement.'D. We will notify the doctor if the pulse oximeter consistently reads 100%.'

Correct Answer: D

Rationale: A reading of 100% (
D) is likely inaccurate for an oxygen-dependent infant, suggesting malfunction or misplacement, requiring clarification. A, B, and C are correct: rotating the probe prevents skin damage, finger/toe placement is appropriate, and movement affects accuracy.

Extract:

Client has a chest tube

Question 3 of 5

A nurse is assisting with the care of a client who has a chest tube. Which of the following actions should the nurse take?

A. Loop the tubing of the chest tube on the client's bed.B. Strip the client's chest tube every 2 hrs.C. Tape the connections on the client's chest tube.D. Place the chest tube drainage system above the level of the client's heart.

Correct Answer: C

Rationale: Taping connections (
C) prevents accidental disconnection, maintaining the systemâ€™s integrity. A can cause kinks, obstructing drainage. B risks lung damage from excessive pressure. D prevents gravity drainage, risking fluid backflow.

Extract:

Client has pneumonia. The client's oxygen saturation is 85%

Question 4 of 5

A nurse is caring for a client who has pneumonia. The client's oxygen saturation is 85%. Which of the following actions should the nurse take first?

A. Encourage the client to cough and deep breathe.B. Raise the head of the bed.C. Initiate humidification therapy.D. Increase the client's oral fluid intake.

Correct Answer: B

Rationale: Raising the head of the bed (
B) improves lung expansion, addressing hypoxia first. A, C, and D are supportive but secondary to positioning for immediate oxygenation.

Extract:

None

Question 5 of 5

A nurse is reinforcing teaching with a newly licensed nurse about obtaining a fecal occult blood test from a client. Which of the following information should the nurse include?

A. Use toilet paper to transfer the stool specimen.B. Collect two stool specimens from the same area of the stool.C. Apply four drops of developing solution to each stool specimen.D. Wait 30 seconds after applying the developing solution to obtain the results.

Correct Answer: D

Rationale: Waiting 30 seconds (
D) ensures accurate reaction for blood detection. A risks contamination, B reduces accuracy, and C varies by kit instructions.

ATI LPN NS 117 Fundamentals Exam | Nurselytic

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