ATI LPN
PN ATI Learning System Medical Surgical Final Quiz Questions
Extract:
Question 1 of 5
A nurse in an urgent care clinic is collecting data from a client who has extensive burns, including on her face. Which of the following data should the nurse collect first?
Correct Answer: B
Rationale: The nurse should first collect the respiratory rate to determine if the client has any signs of airway obstruction, inhalation injury, or respiratory distress, which are life-threatening complications of facial burns.
Question 2 of 5
A nurse is reinforcing teaching with a client who has tuberculosis and a prescription for rifampin. The nurse should identify which of the following findings as a harmless and expected adverse effect of rifampin?
Correct Answer: A
Rationale: Red-orange discoloration of urine is a harmless, expected side effect of rifampin.
Question 3 of 5
A nurse in a provider's office is caring for a client who has blepharitis. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: The first step in the nursing process is assessment. Even with a diagnosis of blepharitis, the nurse must inspect the eyes to evaluate the current severity, presence of drainage (e.g., purulent vs. serous), redness, or signs of secondary infection (e.g., bacterial involvement). This informs subsequent interventions.
Question 4 of 5
A nurse is assisting with the care of a client who has a chest tube in place following a thoracotomy. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Placing the drainage unit below the client's chest level can facilitate the drainage of air and fluid from the pleural space by gravity.
Question 5 of 5
A nurse is collecting data from a client who develops a fruity breath odor, dry mouth, and extreme thirst. Which of the following additional data should the nurse collect?
Correct Answer: A
Rationale: Blood glucose using a glucometer can help diagnose and monitor the client's condition, which is likely diabetic ketoacidosis (DK
A).