ATI LPN
ATI LPN Advanced Med Surg Exam I Questions
Extract:
Question 1 of 5
A client is diagnosed with chronic kidney disease, stage 5. The nurse knows at this stage the client will have to include which of the following in their treatment that has not been needed in previous stages?
Correct Answer: C
Rationale: Dialysis or kidney transplant becomes necessary at stage 5 CKD, also known as end-stage renal disease (ESR
D). At this stage, the kidneys are no longer able to perform their essential functions, and renal replacement therapy is required.
Question 2 of 5
A nurse is reinforcing teaching for a client who has chronic kidney disease about the process of continuous ambulatory peritoneal dialysis (CAPD). Which of the following should the nurse include in the teaching?
Correct Answer: C
Rationale: CAPD involves continuous dialysis 24 hours a day, 7 days a week, with multiple exchanges of dialysate throughout the day to manage CKD symptoms.
Question 3 of 5
The nurse is providing care for a patient diagnosed with an ischemic stroke on the left side of the brain with opposite side affected extremities. The nurse notices that the patient does not easily reach items placed at the bedside. In which area does the nurse place items for easy access?
Correct Answer: B
Rationale: Items should be placed on the right side, the unaffected side, for easier access.
Question 4 of 5
The patient is returning to the medical-surgical unit after a dialysis session. The nurse notes bleeding from the patient's vascular access in the left arm. Which of the following is the nurse's first action?
Correct Answer: C
Rationale: Applying pressure to the access site is the appropriate first action. This step is crucial to stop the bleeding and prevent further blood loss.
Question 5 of 5
A charge nurse overhears a newly licensed nurse providing instructions to a female client on the proper steps to collect a midstream urine specimen. Which of the following statements made by the newly licensed nurse requires the charge nurse to intervene?
Correct Answer: C
Rationale: Using the provided towelette to cleanse the area by moving in a back-and-forth motion is incorrect and requires intervention. The proper technique for cleansing the area involves using the towelette to wipe from front to back in a single, continuous motion to reduce the risk of introducing bacteria.