ATI LPN
ATI LPN Med Surg Cohort 6 Exam Questions
Extract:
Question 1 of 5
A nurse assesses a patient's peripheral IV site and notices edema and tenderness above the site. What action will the nurse take next?
Correct Answer: A
Rationale: Edema and tenderness suggest infiltration, requiring immediate cessation of IV fluids to prevent tissue damage.
Question 2 of 5
A nurse is caring for a client who has burns to approximately 50% of their body. Which of the following physiological changes related to the burns should the nurse anticipate? (Select all that apply.)
Correct Answer: A,D,E
Rationale: Burns cause fluid shifts, capillary leakage, and protein loss, leading to decreased plasma volume and edema, not diuresis or hypermagnesemia.
Extract:
History and Physical
0820:
20-year-old client presents to the emergency department with severe burns. Client Is grimacing and rates pain as 5 on a scale of 0 to 10. Patent airway, No Increased work of breathing.
Vital signs
0820:
• Blood pressure 140/80mmHg
• Heart rate 110/min
• Respiratory rate 25/min
• SaO2 98% on room air
• Temp 36.1 degrees
Assessment
2030:
Client is screaming and crying in pain. Client reports pain as 10 on a scale of 0 to 10. Client is very anxious and is breathing rapidly. Patent airway. Lungs are clear to auscultation bilaterally.
Question 3 of 5
A nurse is assisting in the care of a client who has severe burns. Which of the following actions should the nurse take when caring for a client who has severe burns? Select all that apply.
Correct Answer: B,D
Rationale: Opioids manage severe pain, and benzodiazepines address anxiety, both critical in burn care; ice water and antibiotics are not routinely indicated.
Extract:
Question 4 of 5
A nurse is caring for a client that is immobile. The nurse recognizes that the appearance of non-blanchable erythema on the heels most likely indicates which of the following stages of pressure injuries?
Correct Answer: D
Rationale: Stage I pressure injuries present as non-blanchable erythema on intact skin, indicating early tissue damage without skin loss, typically over bony prominences like the heels.
Question 5 of 5
The nurse is caring for a client with a chronic wound. Which of the following are wound treatments that may assist with the healing process?
Correct Answer: A,B,C,D
Rationale: Measuring the wound tracks healing, antibiotics treat infection, nutrition supports tissue repair, and debridement removes barriers to healing.