ATI LPN
ATI PN Adult Medical Surgical 2023 III Questions
Extract:
Nurse’s Notes (0700hrs)
Diagnostic Results
Vital Signs
Laboratory Results
Intake and Output
The client is alert and oriented to person, place, and time.
The client reports mild discomfort in the abdominal area.
The client’s skin is warm and dry to touch.
The client’s surgical wound appears clean with no signs of infection.
The client’s bowel sounds are present in all four quadrants.
The client’s peripheral pulses are palpable and equal bilaterally.
The client’s respiratory effort appears unlabored.
Question 1 of 5
A nurse is assisting in the care of a 68-year-old male client in the postoperative unit. The client underwent a major abdominal surgery. The nurse should anticipate a provider prescription for a certain medication. Please drag words from the choices below to fill in each blank in the following sentence: The nurse should anticipate a provider prescription for......... and.......
Correct Answer: C,G
Rationale: Postoperative stability (clean wound, normal bowel sounds) suggests fluid maintenance with 0.9% sodium chloride is appropriate, with no immediate need for other medications based on findings.
Extract:
Question 2 of 5
What findings should the nurse identify as a risk factor for the development of osteoporosis?
Correct Answer: B
Rationale: Long-term prednisone use increases osteoporosis risk by reducing bone density.
Extract:
Nurse’s Notes
Vital Signs
Diagnostic Results
1300hrs
The client appears restless and complains of feeling weak. He reports difficulty in breathing and has a persistent cough. His skin is cool and clammy to touch. He is oriented to time, place, and person but appears anxious.
At 1300hrs, a nurse is preparing to administer medications to a 68-year-old male client in the cardiac unit. The client’s medications include Furosemide 40 mg PO daily, Potassium chloride 10 mEq/L PO twice daily, Lisinopril 10 mg PO daily, NPH insulin 26 units SUBQ daily, and Atorvastatin 20 mg PO daily.
Question 3 of 5
Based on the findings above, complete the following sentence by using the list of options. The nurse should clarify the prescription for...... due to the client's.......
Correct Answer: A,F
Rationale: The client's cool, clammy skin, weakness, and respiratory distress suggest potential fluid overload or worsening cardiac status. Furosemide, a diuretic, should be clarified due to the client's condition, as it may exacerbate dehydration or hypotension if not carefully monitored.
Extract:
Question 4 of 5
Which of the following actions should the nurse perform first when providing tracheostomy care?
Correct Answer: C
Rationale: Auscultating lungs first assesses the need for suctioning or other tracheostomy care steps.
Question 5 of 5
Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: C
Rationale: Reapplying stockings before getting out of bed prevents venous stasis.