ATI LPN
ATI PN Fundamentals Questions
Extract:
A nurse is preparing to administer dextrose 5% in water (D5W) 100 mL to infuse over 1 hr. The drop factor of the manual IV tubing is 15 gtt/ml.
Question 1 of 5
The nurse should set the manual IV infusion to deliver how many gtt/min? (Round the answer to the nearest whole number.)
Correct Answer: 25
Rationale: (100 mL × 15 gtt/mL) / 60 min = 25 gtt/min.
Therefore, the nurse should set the manual IV infusion to deliver 25 drops per minute.
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 2 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.
Extract:
A nurse is caring for a client who is conscious and has an airway obstruction.
Question 3 of 5
Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The Heimlich maneuver is the standard technique to clear an obstructed airway in conscious adults, using abdominal thrusts to dislodge the obstruction.
Extract:
A nurse is collecting data about the fluid status of four clients.
Question 4 of 5
Which of the following clients should the nurse identify as being at risk for fluid volume deficit?
Correct Answer: D
Rationale: Prolonged NPO status restricts fluid intake, increasing the risk of fluid volume deficit.
Extract:
A nurse is planning preventive care for a client who is at risk for pressure ulcers and requires bed rest.
Question 5 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Repositioning every 2 hours relieves pressure on vulnerable areas, reducing the risk of pressure ulcer formation.