ATI LPN
ATI PN Adult Medical Surgical 2023 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: Ensuring client safety by moving them to a safe area is the priority in a fire emergency.
Question 2 of 5
A nurse is preparing to administer heparin 15,000 units every 12 hr subcutaneously to a client who weighs 80 kg. Available is 10,000 units/mL. How many mL should the nurse administer with each dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 1.5
Rationale: Calculation: (15,000 units / 10,000 units/mL) = 1.5 mL, per dose requirement.
Question 3 of 5
A nurse is reinforcing discharge instructions with a client who is taking oral iron supplementation for anemia. Which of the following statements by the client demonstrates an understanding of the teaching?
Correct Answer: B
Rationale: Increased fiber prevents constipation, a common side effect of iron supplementation.
Question 4 of 5
A nurse is assisting in the care of a client whose cardiac monitor suddenly displays ventricular tachycardia. Which of the following is the priority nursing action?
Correct Answer: C
Rationale: Checking for a pulse determines if the rhythm is perfusing, guiding further action.
Extract:
Medical History.
Vital Signs
Nurses' Notes
Cerebrovascular accident 2 years ago Coronary artery disease
Hypertension
Question 5 of 5
A nurse is reviewing the client's medical record. After reviewing the medical record, which of the following actions should the nurse plan to take? For each potential provider's prescription, click to specify if the potential prescription is anticipated, nonessential, or contraindicated for the client.
| Options | Anticipated | Non-essential | Contraindicated |
|---|---|---|---|
| Assist the client to the bathroom. | |||
| Initiate seizure precautions. | |||
| Record GCS every $15 \mathrm{~min}$ for the first $4 \mathrm{hr}$. | |||
| Elevate the head of the bed | |||
| Keep the client's head in midline position | |||
| Encourage the client to cough | |||
| Decrease oxygen to $1.5 \mathrm{~L} / \mathrm{min}$ via nasal cannula |
Correct Answer: A: Anticipated, B: Non-essential, C: Non-essential, D: Anticipated, E: Anticipated, F: Non-essential, G: Contraindicated
Rationale: A, D, E are anticipated to support mobility, reduce ICP, and maintain alignment post-CVA; G is contraindicated without specific oxygen needs assessed.