Questions 84

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ATI LPN Adult Medical Surgical 2023 II Questions

Extract:


Question 1 of 5

A nurse is assisting in the plan of care for a client who has thrombocytopenia. Which of the following actions should the nurse include in the plan?

Correct Answer: D

Rationale: Checking for ecchymosis monitors for bleeding, a key concern in thrombocytopenia due to low platelets.

Question 2 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: D

Rationale: Using the left arm for blood samples avoids trauma to the right arm, reducing lymphedema risk post-mastectomy.

Question 3 of 5

A nurse on the oncology unit is evaluating a client's response after receiving a dose of aprepitant. Which of the following therapeutic effects should the nurse expect?

Correct Answer: D

Rationale: Aprepitant is an antiemetic used to prevent nausea and vomiting, so the expected therapeutic effect is the absence of nausea.

Question 4 of 5

A nurse is assisting a provider with a client who is to undergo a thoracentesis. In which of the following positions should the nurse place the client?

Correct Answer: C

Rationale: Sitting upright leaning forward maximizes lung expansion and fluid access for thoracentesis.

Question 5 of 5

An occupational health nurse is interpreting the results of a tuberculin skin test for a group of clients who received the test 48 hr ago. Which of the following clients should the nurse identify as having a positive test result?

Correct Answer: B

Rationale: An induration of 15 mm indicates a positive TB test, suggesting exposure or infection.

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