Questions 74

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ATI LPN Test Bank

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

Ensure a method to communicate during the procedure.
Clean the inner cannula using a small brush.
Wear clean gloves to remove the tracheostomy dressing.
Apply clean tracheostomy ties.
Explain the procedure to the client.

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

Wipe the sample port with an alcohol wipe and let the alcohol dry.
Document in the client's electronic medical record that the specimen was sent to the laboratory.
Empty the urine into a sterile container labeled with the client's identifiers.
Attach a sterile needleless syringe to the sample port and aspirate the specimen.
Clamp the catheter tubing distal to the sampling port for 15 minutes.

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.

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