Questions 102

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ATI PN Fundamentals 2023 Questions

Extract:

Nurses' Notes
Diagnostic Results
Day 1:

1000:

A peripherally inserted central catheter (PICC) is inserted into left arm. Dressing dry and intact. Bilateral breath sounds clear and present throughout.

1200:

Parenteral nutrition started through PICC line infusing at 75 mL/hr.

Day 3:

0800:

Client is lethargic and reports thirst and frequent urination. Bilateral breath sounds clear and present throughout.


Question 1 of 5

A nurse is reviewing the medical record of a client who has a paralytic ileus. Select words from the choices below to fill in each blank in the following sentence: The findings in the client's medical record indicate----and----.

Correct Answer: A, C

Rationale: A: Thirst and urination suggest dehydration. C: Lethargy and polyuria indicate hyperglycemia from parenteral nutrition.

Extract:


Question 2 of 5

A nurse is reinforcing discharge teaching with a male client who has an indwelling urinary catheter. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer: B

Rationale: Keeping the bag below the waist prevents urine backflow and infection.

Question 3 of 5

A nurse is reviewing the laboratory results for a client who reports vomiting and diarrhea for 2 days, which of the following laboratory findings should the nurse expect?

Correct Answer: D

Rationale: Vomiting and diarrhea cause potassium loss, leading to hypokalemia.

Question 4 of 5

A nurse is collecting data from a client who is 2 days postoperative following the placement of a colostomy. Which of the following findings should the nurse report to the provider?

Correct Answer: C

Rationale: A dark stoma suggests necrosis or ischemia, requiring urgent provider notification.

Question 5 of 5

A nurse is preparing to set up a sterile field to change a sterile dressing on a client's abdominal wound. Identify the sequence of steps the nurse should take.

Correct Answer: C, A, B, D, E

Rationale: Sequence maintains sterility: prepare surface, open kit, unfold flaps systematically.

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