ATI LPN
ATI PN Adult Medical surgical 2023 IV Questions
Extract:
Question 1 of 5
A nurse administered a dose of penicillin to a client 30 minutes ago. The client reports she has hives and is itching. Which of the following statements by the nurse is the highest priority?
Correct Answer: C
Rationale: Asking about breathing difficulty (
C) is the priority to assess for anaphylaxis, a life-threatening reaction.
Question 2 of 5
A nurse is preparing to administer warfarin to a client who has chronic atrial fibrillation. Which of the following laboratory values should the nurse monitor prior to administering the medication?
Correct Answer: B
Rationale: Monitoring INR (
B) ensures warfarin's anticoagulant effect is within therapeutic range.
Question 3 of 5
A nurse is reinforcing teaching with a client who has gastroesophageal reflux disease (GERD). Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: B
Rationale: Eating six small meals (
B) reduces stomach pressure, alleviating GERD symptoms, showing understanding.
Question 4 of 5
A nurse is caring for a client who is in skin traction. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Ensuring weights hang freely (
A) maintains proper traction alignment, critical for effectiveness.
Question 5 of 5
A nurse is collecting data from a client who has peritonitis. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: Absent bowel sounds (
C) are expected in peritonitis due to inflammation causing ileus.