ATI LPN
ATI LPN Adult Medical Surgical 2023 II 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: A
Rationale: Difficulty staying awake suggests a possible concussion or serious head injury, requiring immediate attention.
Question 2 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 3 of 5
A nurse is reinforcing teaching with a client who has acute glomerulonephritis with edema. Which of the following statements should the nurse make?
Correct Answer: B
Rationale: Reducing sodium intake helps manage edema in glomerulonephritis by decreasing fluid retention.
Question 4 of 5
A nurse is caring for a client who is receiving intermittent bolus enteral feedings through a jejunostomy tube. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Elevating the head of the bed prevents aspiration, a key risk during enteral feedings.
Question 5 of 5
A nurse is contributing to the plan of care for a client who has developed an infectious wound with foul-smelling drainage. Which of the following actions should the nurse include in the plan of care?
Correct Answer: A
Rationale: A private room minimizes infection spread and manages odor, benefiting both client and staff.