ATI LPN
ATI PN Adult Medical surgical 2023 IV 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: A
Rationale: Checking for ecchymosis (
A) is appropriate for thrombocytopenia to monitor for bruising due to low platelets, unlike the other options which increase bleeding or infection risk.
Question 2 of 5
A nurse is preparing to perform a blood glucose test. After performing hand hygiene and donning gloves, in which order should the nurse perform the following actions to obtain a capillary blood sample?
Correct Answer: A, B, C, D, E
Rationale: The document's order A, B, C, D, E matches the standard sequence: cleansing (
A), drying (
B), piercing (
C), squeezing (
D), and applying blood (E).
Question 3 of 5
A nurse is assisting with the care of a client who is receiving penicillin via intermittent IV bolus. Which of the following should the nurse recognize as a clinical manifestation of anaphylaxis?
Correct Answer: D
Rationale: Pruritus (
D) is a common early sign of anaphylaxis, an allergic reaction to penicillin.
Question 4 of 5
A nurse is assisting with the care of a client who has a closed-chest tube drainage system. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Replacing a full drainage unit (
B) ensures the chest tube system functions properly, preventing complications.
Question 5 of 5
A nurse is reinforcing teaching with a client about breast self-examinations. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: A
Rationale: Recognizing that one breast may be larger (
A) shows understanding of normal anatomy, a key teaching point.