ATI LPN adult medical surgical 2023

Question 1 of 5

A nurse is reinforcing teaching about ostomy supplies with a client who has a new colostomy. Which of the following information should the nurse include?

A. Empty the pouch when it is 1/3 to 1/2 full.B. Use a standard enema set to irrigate the colostomy.C. Cleanse the skin surrounding the stoma with moisturizing soap.D. Cut the opening in the skin barrier 1/4 inch larger than the stoma.

Correct Answer: A

Rationale: Emptying the pouch when 1/3 to 1/2 full prevents leakage and maintains skin integrity, a key aspect of ostomy care.

Question 2 of 5

A nurse is caring for a client who is 6 hr postoperative following a bowel resection. Which of the following findings is the priority for the nurse to report?

A. The client arouses easily but quickly falls back asleep.B. There is 20 mL of dark red drainage from the wound drainage device over the past 4 hr.C. There is 60 mL of dark yellow urine from the indwelling urinary catheter over the past 4 hr.D. The client reports a pain level of 6 on a scale from 0 to 10 at the incision site.

Correct Answer: A

Rationale: Difficulty staying awake 6 hours post-op suggests potential respiratory depression or neurological issues, a priority to report.

Question 3 of 5

A nurse at a rehabilitation facility is contributing to the plan of care for a client who has had a below-the-knee amputation. Which of the following interventions should the nurse include in the plan of care?

A. Restrict visitors to family members until the client is able to wear a prosthesis.B. Encourage the client to talk with another client who completed rehabilitation for amputation.C. Instruct the client to ignore phantom pain sensations.D. Suggest that family members bring clothing for the client from home.E. Ask the client to describe her feelings about the loss of the affected limb.

Correct Answer: B,D,E

Rationale: Peer support, familiar clothing, and addressing feelings promote psychological adjustment and rehabilitation; restricting visitors or ignoring phantom pain is not therapeutic.

Question 4 of 5

A nurse is transporting a client who has pneumonia and is on droplet precautions to radiology. Which of the following safety measures should the nurse take while transporting the client?

A. The client should wear a mask during transport.B. The nurse should wear a mask during transport.C. The nurse should wear a gown during transport.D. The client should wear a gown during transport.

Correct Answer: A

Rationale: The client wearing a mask during transport prevents the spread of droplet pathogens, consistent with droplet precautions for pneumonia.

Question 5 of 5

A nurse is reinforcing teaching with a 30-year-old client who is concerned about cervical cancer. Which of the following statements should the nurse make?

A. Cervical cancer screenings should begin at age 40B. Plan to continue cervical cancer screenings for the rest of your life.C. You should get a Papanicolaou (Pap) test and human papillomavirus test every 5 years.D. If you are immunized against human papillomavirus, you don't need cervical cancer screenings.

Correct Answer: C

Rationale: For a 30-year-old, Pap and HPV testing every 5 years is recommended per current guidelines, making this the correct statement.

ATI LPN adult medical surgical 2023 | Nurselytic

Nurselytic

ATI LPN

ATI LPN