ATI LPN
ATI PN Fundamentals Questions
Extract:
A nurse is caring for a client who has paraplegia and is on an intermittent urinary catheterization program.
Question 1 of 5
Which of the following findings indicates to the nurse the need to catheterize the client?
Correct Answer: B
Rationale: Suprapubic discomfort suggests bladder distension, indicating the need for catheterization to prevent complications.
Extract:
A nurse is reinforcing teaching about ileostomy care with a client.
Question 2 of 5
The nurse should recognize which of the following statements by the client indicates a need for further teaching?
Correct Answer: A
Rationale: Enteric-coated medications are designed to dissolve in the small intestine rather than the stomach. This is important for ileostomy patients because medications that dissolve in the stomach may be poorly absorbed or can cause irritation to the stoma or the small intestine.
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 caring for a client who has a pneumothorax and a water-seal chest tube drainage system to suction.
Question 4 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 collecting data for a client who has fluid volume deficit.
Question 5 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.