ATI LPN
ATI PN Fundamentals Questions
Extract:
A nurse is administering a tap-water enema to a client. The client reports cramping as the nurse instills the irrigating solution.
Question 1 of 5
Which of the following actions should the nurse take to relieve the client's discomfort?
Correct Answer: B
Rationale: Lowering the container slows the fluid flow, reducing cramping by decreasing colonic pressure.
Extract:
A nurse is providing care to a client who has COPD and is receiving supplemental oxygen.
Question 2 of 5
Which of the following findings should the nurse report to the RN immediately?
Correct Answer: C
Rationale: Use of accessory muscles indicates respiratory distress, requiring immediate intervention in a COPD client.
Extract:
A nurse is preparing to administer 0.9% sodium chloride (NaCl) 750 mL IV to infuse over 8 hr.
Question 3 of 5
The nurse should set the IV pump to deliver how many mL/hr? (Round to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 94
Rationale: 750 mL / 8 hr = 93.75 mL/hr, rounded to 94 mL/hr.
Extract:
A nurse is collecting data from a client.
Question 4 of 5
Which of the following findings should the nurse report to the charge nurse as an indicator of dehydration?
Correct Answer: A
Rationale: Skin tenting indicates dehydration due to loss of skin elasticity from reduced fluid volume.
Extract:
An assistive personnel (AP) asks a nurse what precautions he should take when measuring the vital signs of a client who has pneumonia.
Question 5 of 5
Which of the following responses should the nurse make?
Correct Answer: A
Rationale: A mask protects against respiratory droplet transmission, appropriate for pneumonia precautions.