ATI LPN
ATI LPN Adult Medical Surgical 2023 II Questions
Extract:
Question 1 of 5
A nurse administered a dose of penicillin to a client 30 min ago. The client reports she has hives and is itching. Which of the following statements by the nurse is the highest priority?
Correct Answer: B
Rationale: Difficulty breathing is a life-threatening sign of anaphylaxis, making it the priority assessment.
Question 2 of 5
A nurse is reviewing a client's medical history to identify risk factors for osteoporosis. The nurse should identify that which of the following findings is a risk factor for developing osteoporosis?
Correct Answer: B
Rationale: Smoking is a known risk factor for osteoporosis due to its effects on bone density.
Question 3 of 5
A nurse is assisting with the care of a client who has a closed-chest tube drainage system. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Replacing the unit when full maintains system functionality and prevents complications like tension pneumothorax.
Question 4 of 5
A nurse is reviewing the laboratory data of a client who is scheduled for a liver biopsy. Which of the following values should the nurse report to the provider?
Correct Answer: A
Rationale: A low platelet count (60,000/mm³) increases bleeding risk during a liver biopsy, requiring provider notification.
Question 5 of 5
A nurse is reinforcing teaching about the care of a client who has tinea corporis with a newly licensed nurse. Which of the following should the nurse include in the teaching?
Correct Answer: C
Rationale: Avoiding direct contact prevents the spread of tinea corporis, a fungal infection transmitted by touch.