ATI LPN
PN Fundamentals 2023 Questions
Extract:
Question 1 of 5
Findings that require immediate follow-up: deep tendon reflexes 4+, generalized weakness, mild leg cramping, heart rate irregular, bowel sounds hyperactive x 4 quadrants
Correct Answer: A,B,C,D,E
Rationale: A: Hyperreflexia suggests magnesium deficiency. B,C: Weakness and cramping indicate electrolyte issues. D: Irregular heart rate risks arrhythmia. E: Hyperactive bowels may relate to vomiting.
Question 2 of 5
The client is at risk for ___ as evidenced by the client's ___
Correct Answer: A,B
Rationale: A: Dysphagia increases aspiration risk. B: Food stuck in mouth and hoarseness indicate swallowing difficulty.
Question 3 of 5
A nurse is collecting data from a client who has hypomagnesemia. Which of the following findings should the nurse identify as a positive Chvostek's sign?
Correct Answer: C
Rationale: A positive Chvostek's sign (twitching of facial muscles when tapping the facial nerve) is associated with hypomagnesemia; assumed as C due to incomplete options.
Question 4 of 5
A nurse is collecting data from a client who has a BMI of 29. The nurse should document that the client is in which of the following weight categories?
Correct Answer: A
Rationale: A BMI of 25-29.9 is categorized as 'overweight.' This indicates that the client is above the ideal weight range but has not reached the threshold for obesity.
Question 5 of 5
A nurse is assisting with the care of a client who is experiencing dysphagia following a recent stroke. The nurse should initiate a referral to which of the following interprofessional team members?
Correct Answer: D
Rationale: A speech-language pathologist is specifically trained to evaluate and treat swallowing disorders (dysphagia), which makes them the appropriate specialist for this referral.