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 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.
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 a full drainage unit (
B) ensures the chest tube system functions properly, preventing complications.
Question 4 of 5
A nurse is assisting with the care of a client who is receiving penicillin via intermittent IV bolus. Which of the following should the nurse recognize as a clinical manifestation of anaphylaxis?
Correct Answer: D
Rationale: Pruritus (
D) is a common early sign of anaphylaxis, an allergic reaction to penicillin.
Question 5 of 5
A nurse is assisting with the care of a postoperative client who has developed malignant hyperthermia. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Applying a cooling blanket (
A) is the correct action to reduce the dangerously elevated temperature in malignant hyperthermia.