ATI LPN
ATI LPN Fundamentals exam VI Questions
Extract:
Question 1 of 5
For a patient who is experiencing an ECV excess, the nurse plans to determine the fluid status. The best way for the nurse to determine the fluid balance for the patient is to:
Correct Answer: B
Rationale: Daily weights directly measure fluid balance changes, providing a more precise assessment than tests, intake monitoring, or vital signs alone.
Question 2 of 5
The IV site of a patient receiving a continuous IV infusion should be monitored by the nurse:
Correct Answer: C
Rationale: Hourly monitoring detects complications like infiltration or phlebitis promptly, more effectively than less frequent checks.
Question 3 of 5
A nurse is caring for a client who has gastroesophageal disease and a prescription for metoclopramide. For which of the following adverse effects should the monitor?
Correct Answer: D
Rationale: Blurred vision is a known adverse effect of metoclopramide due to CNS effects, unlike sedation, urinary retention, or hypertension which are less specific.
Question 4 of 5
A nurse is reviewing the medical record of a client who just returned to the unit following surgery and notes the client has a history of anaphylaxis in response to penicillin. The client's postoperative prescriptions include a dose of cephalexin. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Due to potential cross-reactivity between penicillin and cephalexin, notifying the provider for an alternative avoids anaphylaxis risk.
Question 5 of 5
A nurse identifies an extravasation of a vesicant solution at a client's peripheral IV catheter's insertion site. Identify the sequence in which the nurse should perform the following actions.
Correct Answer: D,E,C,A,B
Rationale: Stopping the infusion (
D) prevents further damage, attaching a syringe (E) and aspirating (
C) removes vesicant, disconnecting tubing (
A) and removing the catheter (
B) finalize the process.