ATI LPN
ATI PN Fundamentals Questions
Extract:
A nurse is collecting data from a client.
Question 1 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:
A nurse is contributing to the plan of care for a client who is postoperative following peritoneal lavage for peritonitis. The client has a nasogastric tube to low-intermittent suction and closed-suction drains in place.
Question 2 of 5
Which of the following interventions should the nurse include in the plan?
Correct Answer: C
Rationale: Measuring abdominal girth monitors for fluid accumulation or complications like distension post-peritonitis surgery.
Extract:
The nurse is caring for a client who has a pneumothorax and a water-seal chest tube drainage system to suction.
Question 3 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 preparing to administer levothyroxine 100 mcg PO to a client who has hypothyroidism. Available is levothyroxine 50 mcg tablets.
Question 4 of 5
How many tablets should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 2
Rationale:
To administer 100 mcg using 50 mcg tablets, the nurse should give two tablets.
Extract:
A nurse is administering a tap-water enema to a client. The client reports cramping as the nurse instills the irrigating solution.
Question 5 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.