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 sterile dressing change for a client who has a stage III pressure ulcer. Which of the following actions should the nurse plan to take?
Correct Answer: B
Rationale: Offering pain medication (
B) is correct as it addresses discomfort from a stage III pressure ulcer dressing change, prioritizing client comfort.
Question 3 of 5
A nurse is assisting with the care of a postoperative client who has developed malignant hyperthermia. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Applying a cooling blanket (
A) is the correct action to reduce the dangerously elevated temperature in malignant hyperthermia.
Question 4 of 5
A home health nurse is reinforcing teaching with an older adult client about safety precautions to take in the home. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: Placing white tape on stair edges (
B) enhances visibility, reducing fall risk, which is a key safety precaution for older adults.
Question 5 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: B
Rationale: Inability to stay awake (
B) is the priority as it suggests a serious head injury or concussion requiring immediate attention.