ATI LPN
ATI PN Fundamentals Questions
Extract:
The nurse is caring for a client who has a pneumothorax and a water-seal chest tube drainage system to suction.
Question 1 of 5
Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Keeping the drainage container below chest level ensures proper drainage and prevents fluid backflow.
Extract:
A nurse is assessing a client who has asthma and signs of central cyanosis.
Question 2 of 5
Which of the following is a reliable indicator of cyanosis?
Correct Answer: A
Rationale: The oral mucosa, particularly lips and tongue, reliably shows cyanosis due to its vascularity and visibility.
Extract:
A nurse is administering a tap-water enema to a client. The client reports cramping as the nurse instills the irrigating solution.
Question 3 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 planning to reinforce teaching with a client about the need to follow a low-potassium diet.
Question 4 of 5
Which of the following foods should the nurse instruct the client to avoid? (Select all that apply.)
Correct Answer: B,D
Rationale: Yogurt and orange juice are high in potassium and should be avoided on a low-potassium diet, unlike butter, pears, and cabbage.
Extract:
A nurse is contributing to the plan of care for a client who has an intestinal obstruction and is receiving continuous gastrointestinal decompression using a nasogastric tube.
Question 5 of 5
Which of the following interventions should the nurse include in the plan of care?
Correct Answer: A
Rationale: Fowler's position reduces aspiration risk and aids nasogastric tube function for decompression.