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ATI PROCTORED-NUR101 LPN 2024 EXAM QUESTIONS WITH COMPLETE SOLUTIONS
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ATI PROCTORED-NUR101 LPN 2024 EXAM QUESTIONS WITH COMPLETE SOLUTIONS
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ATI PROCTORED-NUR101 LPN 2024EXAM QUESTIONS WITH COMPLETE
SOLUTIONS
A nurse is caring for a client who has a potassium level of 5.4 mEq\L. The nurse should
assess the client for?
A) Hypotension
B) Polyuria
C)Constipation
D)ECG changes - Answer-ECG changes
A nurse is implementing a bladder training program. Which of the following actions by
the assistive personnel who is assisting in the clients care indicates a need for further
instruction?
A) assist the client to the bathroom every two hours
B) encourages oral fluid, intake during waking hours
C) offers the opportunity to void 15 mins before bathing
D) instructs the client to void whenever the urge occurs - Answer-instructs the client to
void whenever the urge occurs
A nurse is caring for an older adult client who is Asian and is recovering from a bowel
obstruction. The client is on a clear liquid diet and asks the nurse for a cup of hot Ginger
tea. The nurse should recognize that this request is?
A)contraindicated for this clients diet prescription
B) A traditional ethnic remedy
C) intended to promote sleep
D) cleanse the body - Answer-A traditional ethnic remedy
A nurse is calculating a clients intake and output during the shift. The client's intake
includes 1000 ml normal saline, one cup of coffee, 6 oz of water, 1 bowel of soup, 3 oz
of flavored Gelatin and 3 oz of ice cream. - Answer-1780 ml
A nurse if preparing a sterile field. Which of the following actions should the nurse
perform first?
A) grasp outer edge of inner most flap and lay it on the table
B) center the sterile pack on the work surface
C) open outer most flap away from the body while arm is outstretched
D) Grasp side flap by outer edge and lay on the table - Answer-Center the sterile pack
on the work surface
,A nurse is creating a plan of care for a client who is receiving enteral feedings via a
gastrotomy tube. Which of the following is the first action the nurse should take when
administering enteral feedings?
A) aspirate and measure stomach contents
B) administer the bolus feeding
C) elevate the head of bed at least 30 degrees
D) warm the feeding to room temperature - Answer-Elevate the head of the bed at least
30 degree
A nurse is caring for a toddler in contact isolation. Which of the following is an
appropriate toy to offer the toddler?
A) plush stuffed animal
B) Chapter book
C) plastic building blocks
D) puzzle - Answer-plastic building blocks
A nurse if removing an isolation gown. After caring for a client who requires contact
precautions. Which of the following steps should the nurse take to properly remove the
isolation gown that has ties in the front?
A) untie the neck strings, remove gloves and until waist strings
B) untie front waist strings, remove gloves and untie neck ties
C) remove gloves, wash hands, untie waist
D) remove gloves, untie neck strings, untie waist strings - Answer-untie waist strings,
remove gloves, untie neck ties
A nurse is developing a plan of care for a client who has an ileostomy and application of
stoma bag care. Based on the nurses understanding, which of the following are
appropriate concepts.
A) facilitate ring adhesion with pectin flange
B) apply an aspirin to decrease odor
C) limit the use of skin barriers
D) expect firm fecal content - Answer-facilitate ring adhesion with pectin flange
A nurse is preparing to exit the room of a client who has a draining wound infected with
MRSA and requires contact isolation precautions. identify the sequence the nurse
should follow to remove PPE. - Answer-remove gloves
remove protective eyewear
remove gown
remove mask
perform hand hygiene
,A nurse is caring for a client following the surgical placement of a colostomy. Which of
the following statements indicates the client understands the dietary teaching?
A) eating yogurt can help decrease the amount of gas
B) I should eliminate pasta from my diet so that I don't have many loose stools
C) My largest meal of the day should be in the evening
D) carbonated beverages can help control odor - Answer-eating yogurt can help
decrease the amount of gas
A client who is taking nitrofurantoin (Macrodantin) for a UTI voices a concern to the
clinic nurse about voiding brown colored urine. Which of the following is an appropriate
response by the nurse?
A) drinking more fluid will prevent your urine from becoming brown
B) the provider will change your medication because your infection is not resolving with
the nitrofurantoin
C) an increase of RBC destruction in your blood can result in brown colored urine
D) brown colored urine is a harmless side effect of the medication. - Answer-brown
colored urine is a harmless side effect of the medication
Stem: a nurse in a provider's office is re-enforcing teaching for a client who is to collect
a 24 hour specimen. Which of the following should the nurse include in the instructions?
A) at the beginning of the collection time, void and discard the urine
B) at the beginning of the collection time, void and save the urine
C) at the end of the collection time, void and discard the urine
D) at the end of the collection time, void and save the urine in a separate container. -
Answer-at the beginning of the collection time, void and discard the urine
A client has not voided for 8 hours following the removal of an indwelling bladder
catheter. Which of the following should be the nurse's priority action?
A) increase fluids
B) perform bladder scan
C) place indwelling catheter
D) provide assistance to the bathroom - Answer-perform bladder scan
A nurse is caring for a client who is one day post operative following a transurethral
resection of the prostate (TURP) and has a continuous bladder irrigation in place. Which
of the following are appropriate nursing actions.
add the amount of bladder irrigation to the total output
-use sterile technique when preparing the irrigation solution
-ensure the drainage tubing is patent and without obstruction
-contact the surgeon if the client reports the continual need to void
, -notify the surgeon if the urine is bright red in appearance or has large clots - Answer--
use sterile technique when preparing the irrigation solution
-ensure the drainage tubing is patent and without obstruction
-notify the surgeon if the urine is bright red in appearance or has large clots
A nurse is caring for an older adult client who was admitted to the hospital with
confusion and weakness. Based on the client's laboratory findings which of the following
actions should the nurse take? Select all that apply. Hematocrit 53%, BUN at 25 mg / dl,
urine specific gravity at 1.032
-restrict fluid intake
- monitor I & O
- weigh client daily
-instruct the client to sit on the side of the bed for a few mins before standing
- check orientation to person, place and time regularly - Answer--monitor I & O
- weigh client daily
-instruct the client to sit on the side of the bed for a few mins before standing
- check orientation to person, place and time regularly
A 0900 the nurse begins the care of a patient who has just been transferred from the
post anesthesia care unit. The patient has a new liter of D5\0.9 % NS infusing at 125 ml\
per hour. The client has an indwelling urinary catheter with continuous bladder irrigation
of NS infusing at 75 ml per hour, to keep the catheter free of clots. At 1500 the nurse
empties 1575 ml from the urinary catheter. Consider the patient's I & O starting at 0900
and ending at 1500 and calculate the number of positive or negative mL. - Answer-375
ml
A nurse is obtaining a urine specimen for culture and sensitivity via a straight
catheterization. Which of the following should the nurse incorporate.
A) collect urine from the catheter port
B) use a sterile specimen container
C) ensure only sterile water is used to inflate the balloon
D)instruct the client to clean from front to back with an antiseptic solution - Answer-use
a sterile specimen container
A nurse is assisting with the implementation of a bowel training program for a client. For
the program to be effective the client should be taken to the bathroom at the following
times?
A) when the client has a urge to defecate
B) every 2 hours while the patient is awake
C) immediately before meals
D) after client feels abdominal cramping - Answer-when the client has a urge to
defecate
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