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) monitors bruising, a key concern in thrombocytopenia due to low platelets.
Question 2 of 5
A nurse is contributing to the plan of care for a client who is starting bowel training for the management of fecal incontinence. Which of the following interventions should the nurse recommend?
Correct Answer: D
Rationale: Assisting to the restroom post-meals (
D) uses the gastrocolic reflex to promote bowel regularity.
Question 3 of 5
A nurse is contributing to the plan of care for a client who has developed an infectious wound with foul-smelling drainage. Which of the following actions should the nurse include in the plan of care?
Correct Answer: D
Rationale: A private room (
D) isolates the infection and manages odor, making it the appropriate care plan action.
Question 4 of 5
A nurse is collecting data from a client who has a subdural hematoma following a motor-vehicle crash. For which of the following findings should the nurse identify that the client is experiencing an increase in intracranial pressure?
Correct Answer: D
Rationale: Delayed responses (
D) indicate rising intracranial pressure affecting brain function.
Question 5 of 5
A nurse working the night shift is caring for an older adult client who has dementia and is at risk for falls. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: A motion sensor mat (
C) alerts staff to movement, preventing falls safely without restraint, aligning with dementia care.