ATI LPN
ATI LPN Adult Medical Surgical 2023 II Questions
Extract:
Question 1 of 5
A nurse enters a client's room and sees smoke coming from the bathroom. Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: Activating the fire alarm first ensures rapid response and safety per the RACE protocol (Rescue, Alarm, Contain, Extinguish).
Question 2 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.
Extract:
Vital Signs
Diagnostic Results
Pain Rating
Nurse’s Notes
Allergy History
• Blood pressure: 142/84 mm Hg
• Temperature: 38.5°C (101.3°F)
• Respiratory rate: 24/min
• Heart rate: 99/min
• SpO₂: 96% on room air
Question 3 of 5
A nurse is caring for a 45-year-old male client in a medical-surgical unit who has a new prescription for cefazolin. Which of the following findings should the nurse identify as contraindications to administering cefazolin? (Select all that apply.)
Correct Answer: A,C
Rationale: Penicillin allergy risks cross-reactivity with cefazolin; furosemide with cefazolin can enhance nephrotoxicity.
Extract:
Question 4 of 5
A nurse is caring for a client who is postoperative following the placement of a colostomy. Which of the following findings indicates the colostomy is functioning properly?
Correct Answer: B
Rationale: Passing flatus indicates the colostomy is functioning by expelling gas, a sign of normal bowel activity.
Question 5 of 5
A nurse is initiating the use of a continuous passive motion (CPM) device for a client following a total knee arthroplasty. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Proper alignment of the client's joints with the CPM frame ensures effective and safe motion therapy post-surgery.