ATI LPN
ATI LPN Adult Medical Surgical 2023 II Questions
Question 1 of 5
A home health nurse is reinforcing teaching with an older adult client about safety precautions to take in the home. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: White tape on stair edges improves visibility, reducing fall risk for older adults.
Question 2 of 5
A nurse is monitoring a client who has diabetes mellitus and a glucose level of 384 mg/dL (74 to 106 mg/dL). Which of the following findings should the nurse identify as an indication of metabolic acidosis?
Correct Answer: A
Rationale: Increased respiratory rate (Kussmaul breathing) compensates for metabolic acidosis in hyperglycemia.
Question 3 of 5
A nurse is reinforcing discharge teaching for a client who had a cerebrovascular accident (CVA). Which of the following statements should the nurse include?
Correct Answer: A
Rationale: Grab bars enhance safety and independence post-CVA by aiding balance in the shower.
Question 4 of 5
A nurse is preparing to perform tracheostomy care for a client. In which order should the nurse take the following steps?
Order the Items
Source Container
Correct Answer: C,B,D,A
Rationale: Ensuring communication first maintains client comfort, followed by dressing removal, cleaning, and applying new ties.
Question 5 of 5
A nurse is contributing to the plan of care for a client who has developed an infectious wound with foul-smelling drainage. Which of the following actions should the nurse include in the plan of care?
Correct Answer: A
Rationale: A private room minimizes infection spread and manages odor, benefiting both client and staff.