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 is caring for a client who has cardiomyopathy and is experiencing sensory overload. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Smaller, frequent care sessions reduce overstimulation, helping manage sensory overload.
Question 3 of 5
A nurse is caring for a client who has dysphagia following a stroke. The nurse should recommend a referral to which of the following members of the interdisciplinary team?
Correct Answer: D
Rationale: A speech therapist specializes in swallowing therapy, essential for managing dysphagia post-stroke.
Question 4 of 5
A nurse is obtaining a sterile urine specimen from a client who has an indwelling urinary catheter. Identify the sequence the nurse should follow.
Correct Answer: E,B,D,C,A
Rationale: The correct sequence ensures sterility and accuracy: clamp to collect urine, clean the port, aspirate, transfer, and document.
Question 5 of 5
A nurse is reviewing the laboratory data of a client who is scheduled for a liver biopsy. Which of the following values should the nurse report to the provider?
Correct Answer: A
Rationale: A low platelet count (60,000/mm³) increases bleeding risk during a liver biopsy, requiring provider notification.