ATI LPN
ATI PN Fundamentals Questions
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 1 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.
Extract:
A nurse is caring for a client who is conscious and has an airway obstruction.
Question 2 of 5
Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The Heimlich maneuver is the standard technique to clear an obstructed airway in conscious adults, using abdominal thrusts to dislodge the obstruction.
Extract:
A nurse is reinforcing teaching with a client about the oliguric phase of acute kidney injury.
Question 3 of 5
Which of the following information should the nurse include in the teaching?
Correct Answer: B
Rationale: During the oliguric phase of AKI, urine output is significantly reduced, typically less than 400 mL per day, indicating impaired kidney function.
Extract:
A nurse is caring for a client who has pneumonia and has been receiving oxygen therapy for several days.
Question 4 of 5
When collecting data from the client, the nurse should identify which of the following findings as an indication of an adverse effect of oxygen therapy?
Correct Answer: B
Rationale: Dryness and cracking of oral mucous membranes can occur due to prolonged oxygen therapy, which dries out mucous membranes.
Extract:
A nurse in a provider's office is reinforcing teaching with a client who is to collect a 24-hr urine specimen.
Question 5 of 5
Which of the following instructions should the nurse include in the teaching?
Correct Answer: B
Rationale: Discarding the first void at the start of the collection period ensures that all urine collected over the next 24 hours is included, maintaining accuracy.