ATI LPN
ATI LPN Fundamentals exam VI Questions
Extract:
Question 1 of 5
During a clinical rotation on an orthopedic unit, a nursing student is caring for a 67-year-old patient who has undergone a knee replacement. The patient is complaining of pain at the IV site. The nursing student assesses the site and finds that the site is cool, blanched and slightly swollen. The student stops the IV and reports the situation to the nurse. What does the nursing student suspect?
Correct Answer: A
Rationale: Cool, blanched, and swollen IV site indicates infiltration from fluid leakage, not inflammation, thrombophlebitis, or phlebitis which involve warmth and redness.
Question 2 of 5
If the nurse needs to administer a 2 mL injection what size syringe is most appropriate to use?
Correct Answer: A
Rationale: A 5 mL syringe accommodates 2 mL with extra space for accuracy, unlike 1 mL (too small), 10 mL (too large), or 3 mL (less optimal).
Question 3 of 5
A nurse is reinforcing teaching with a client who reports taking bisacodyl daily. Which of the following information should the nurse include?
Correct Answer: D
Rationale: Excessive bisacodyl use can lead to rectal irritation, fluid loss, and electrolyte imbalance, unlike the incorrect notions of daily bowel necessity, fiber reduction, or mucosal tears as primary concerns.
Question 4 of 5
During a clinical rotation on an orthopedic unit, a nursing student is caring for a 67-year-old patient who has undergone a knee replacement. The patient is complaining of pain at the IV site. The nursing student assesses the site and finds that the site is cool, blanched and slightly swollen. The student stops the IV and reports the situation to the nurse. What does the nursing student suspect?
Correct Answer: A
Rationale: Cool, blanched, and swollen IV site indicates infiltration from fluid leakage, not inflammation, thrombophlebitis, or phlebitis which involve warmth and redness.
Question 5 of 5
A nurse is reviewing a client's peak and trough levels of gentamicin. The peak should be 6 to 8 mcg/mL and the trough should be 0.5 to 1 mcg/mL. The client's peak is10 mcg/mL and his trough is 2.3 mcg/mL. Which of the following clinical manifestations should the nurse expect with these findings?
Correct Answer: D,E
Rationale: Elevated gentamicin levels can cause neurotoxicity (headache) and ototoxicity (tinnitus), not insomnia, constipation, or dry mouth.