ATI LPN
ATI PN Adult Medical surgical 2023 IV Questions
Extract:
Question 1 of 5
A nurse in an assisted living facility is collecting data from an older adult client who fell in their room and hit their head on the dresser. Which of the following findings is the nurse's priority?
Correct Answer: B
Rationale: Inability to stay awake (
B) is the priority as it suggests a serious head injury or concussion requiring immediate attention.
Question 2 of 5
A nurse working the night shift is caring for an older adult client who has dementia and is at risk for falls. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: A motion sensor mat (
C) alerts staff to movement, preventing falls safely without restraint, aligning with dementia care.
Question 3 of 5
A nurse is assisting with the plan of care for an older adult client who has a new prescription for transdermal clonidine. Which of the following pieces of information should the nurse include in the plan of care?
Correct Answer: D
Rationale: Advising about dry mouth (
D) is correct as it's a common side effect of clonidine, preparing the client for management.
Question 4 of 5
A nurse is reinforcing teaching with a client about breast self-examinations. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: A
Rationale: Recognizing that one breast may be larger (
A) shows understanding of normal anatomy, a key teaching point.
Question 5 of 5
A nurse is caring for a client who is postoperative following a right radical mastectomy. Which of the following actions should the nurse take to prevent the development of lymphedema?
Correct Answer: A
Rationale: Using the left arm (
A) avoids trauma to the right side, reducing lymphedema risk post-mastectomy.