ATI LPN
ATI PN Fundamentals Questions
Extract:
A nurse is preparing to measure a client's oxygen saturation and notes edema of the client's hands and thickened toenails.
Question 1 of 5
The nurse should apply the pulse oximeter probe to which of the following locations?
Correct Answer: C
Rationale: The earlobe is less affected by edema or thickened tissue, providing a reliable site for accurate oxygen saturation readings.
Extract:
A nurse is reviewing the medical record of an adolescent and notes a calcium level of 11.4 mEq/L.
Question 2 of 5
Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: Hypercalcemia can cause tachycardia due to altered cardiac conductivity and increased catecholamine sensitivity.
Extract:
A nurse in a long-term care facility is caring for a client who is unresponsive.
Question 3 of 5
When performing oral hygiene for the client, which of the following actions should the nurse take?
Correct Answer: A
Rationale: Turning the client on their side prevents aspiration of fluids or debris during oral care.
Extract:
The nurse is preparing to administer ear drops to an adult client.
Question 4 of 5
Which of the following actions should the nurse plan to take?
Correct Answer: C
Rationale: Pulling the pinna upward and backward straightens the ear canal in adults, allowing effective delivery of ear drops.
Extract:
A nurse is caring for a client who is 12 hours postoperative following a transurethral resection of the prostate (TURP) and has a 3-way urinary catheter with continuous irrigation. The nurse notes there has not been any urinary output in the last hour.
Question 5 of 5
Which of the following actions should the nurse perform first?
Correct Answer: B
Rationale: Checking tubing patency addresses potential obstructions, the most likely cause of no urinary output, before escalating care.