ATI LPN
ATI LPN Med Surg Exam 4 Questions
Extract:
Question 1 of 5
A nurse has received report on a client who has a basilar skull fracture. Which of the following findings should the nurse anticipate with this client?
Correct Answer: B,C
Rationale: Pooling of blood around the eyes ('raccoon eyes') and bruising over the mastoid process (Battle's sign) are classic signs of a basilar skull fracture.
Question 2 of 5
A nurse is reinforcing teaching with a client who has peripheral vascular disease. Which of the following instructions should the nurse include in the teaching?
Correct Answer: B
Rationale: Incorporating walking into the daily routine helps improve circulation and manage peripheral vascular disease by promoting blood flow in the legs.
Question 3 of 5
A nurse is assisting with the care of a client who was admitted to the telemetry unit after he experienced chest pain, dyspnea, and diaphoresis. Which of the following ECG findings is a manifestation of acute myocardial infarction?
Correct Answer: C
Rationale: ST-segment elevation above the isoelectric line is a key indicator of an acute myocardial infarction (STEMI), signifying myocardial injury.
Question 4 of 5
A nurse is collecting data from a client at a follow-up clinic visit for acute low back pain. A goal for this client is to use proper body mechanics at all times. Which of the following findings indicates that the client is meeting this goal?
Correct Answer: D
Rationale: Facing the direction of movement prevents twisting of the spine, reduces strain on the back, and promotes safe movement, indicating proper body mechanics.
Question 5 of 5
A nurse is reinforcing teaching with the family of a client who has primary dementia. Which of the following manifestations of dementia should the nurse include in the teaching?
Correct Answer: B
Rationale: Forgetfulness progressing to disorientation is a common manifestation of primary dementia, indicating cognitive decline.