ATI LPN
ATI PN Adult Medical surgical 2023 IV Questions
Question 1 of 5
A nurse is preparing to perform tracheostomy care for a client. In which order should the nurse take the following steps? Use all the steps.
Order the Items
Source Container
Correct Answer: A, B, C, D, E
Rationale: The document specifies A, B, C, D, E as the order: starting with communication (
A), followed by cleaning the cannula (
B), removing the dressing with gloves (
C), applying new ties (
D), and explaining last (E), though clinically, explanation often precedes all steps.
Question 2 of 5
A nurse is reinforcing discharge teaching for a client who had a cerebrovascular accident (CVA) and requires assistance to perform their activities of daily living (ADLs). Which of the following statements should the nurse provide?
Correct Answer: A
Rationale: Grab bars (
A) provide stability and support balance, which is essential for a CVA client with impaired mobility, making it the best discharge teaching option.
Question 3 of 5
A nurse is reinforcing teaching about high-potassium foods with a client. Which of the following foods should the nurse recommend?
Correct Answer: D
Rationale: A medium potato (
D) has significantly higher potassium (about 900 mg) compared to cabbage, apple, or watermelon, making it the correct choice for high-potassium teaching.
Question 4 of 5
A nurse is obtaining a sterile urine specimen from a client who has an indwelling urinary catheter. Identify the sequence the nurse should follow. Use all the steps.
Order the Items
Source Container
Correct Answer: A, B, C, D, E
Rationale: The document lists A, B, C, D, E: wiping the port (
A), documenting (
B), transferring urine (
C), aspirating (
D), and clamping (E), though clamping typically occurs first to collect urine.
Question 5 of 5
A nurse is assisting in the plan of care for a client who has thrombocytopenia. Which of the following actions should the nurse include in the plan?
Correct Answer: A
Rationale: Checking for ecchymosis (
A) is appropriate for thrombocytopenia to monitor for bruising due to low platelets, unlike the other options which increase bleeding or infection risk.