Questions 74

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ATI LPN Test Bank

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 preparing to administer subcutaneous enoxaparin. In which order should the nurse perform the following steps?

Order the Items

Source Container

Ensure an air bubble is present in the prefilled enoxaparin syringe.
Slowly inject the medication into the site without aspirating.
Check the medication administration record to verify the client's allergies.
Locate the injection site 5 cm (2 in) to the right or left of the umbilicus.
Pinch clean skin at the injection site and dart the needle into the skinfold at a 90 angle.

Correct Answer: A, B, C, D, E

Rationale: The document lists A, B, C, D, E: ensuring the air bubble (
A), injecting (
B), checking allergies (
C), locating the site (
D), and pinching skin (E), though allergies are typically checked first.

Question 3 of 5

A nurse is reviewing a client's medical history to identify risk factors for osteoporosis. The nurse should identify that which of the following findings is a risk factor for developing osteoporosis?

Correct Answer: B

Rationale: Smoking cigarettes (
B) is a known risk factor for osteoporosis as it decreases bone density.

Question 4 of 5

A nurse is reinforcing teaching with a client following an upper gastrointestinal series using barium contrast. Which of the following instructions should the nurse include?

Correct Answer: D

Rationale: Increasing fluid intake (
D) helps flush barium from the system, preventing constipation.

Question 5 of 5

A nurse is caring for a client who has cardiomyopathy and is experiencing sensory overload. Which of the following actions should the nurse take?

Correct Answer: D

Rationale: Breaking care into small sessions (
D) reduces stimulation, helping manage sensory overload in cardiomyopathy.

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