ATI PN Fundamentals | Nurselytic

Questions 68

ATI LPN

ATI LPN Test Bank

ATI PN Fundamentals Questions

Extract:

A nurse is assisting with the plan of care for a client who has pneumonia and requires chest percussion, vibration, and postural drainage.


Question 1 of 5

Which of the following actions should the nurse plan to complete first?

Correct Answer: B

Rationale: Auscultating lung fields first identifies areas of congestion, guiding effective percussion and drainage.

Extract:

A nurse is caring for a client who has methicillin-resistant Staphylococcus aureus (MRSA) in an abdominal wound. The nurse enters the room to check the client's pulse.


Question 2 of 5

Which of the following items should the nurse wear?

Correct Answer: A

Rationale: Clean gloves prevent contact transmission of MRSA during pulse checking, adhering to contact precautions.

Extract:

A nurse is assisting with the plan of care for a client who has pneumonia and requires chest percussion, vibration, and postural drainage.


Question 3 of 5

Which of the following actions should the nurse plan to complete first?

Correct Answer: B

Rationale: Auscultating lung fields first identifies areas of congestion, guiding effective percussion and drainage.

Extract:

A nurse is collecting data for a client who has fluid volume deficit.


Question 4 of 5

Which of the following is an expected finding?

Correct Answer: C

Rationale: Increased urine specific gravity reflects concentrated urine, an expected finding in fluid volume deficit due to water conservation.

Extract:

When a nurse obtains an unusually low blood pressure measurement for a client whose blood pressure is generally elevated, she considers the possibility of a problem with her technique.


Question 5 of 5

Which of the following sources of error should she consider as a possible cause of the low reading?

Correct Answer: A

Rationale: Positioning the client's arm above heart level can result in a falsely low blood pressure reading due to gravity assisting blood flow downward.

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