ATI LPN
PN Adult Medical Surgical 2020 Questions
Extract:
Question 1 of 5
A nurse is assisting with the care of a client who is receiving a blood transfusion. The client reports chills, back pain, and itching. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: Stopping the transfusion is the priority to halt a possible transfusion reaction.
Question 2 of 5
A nurse is caring for a client who is 8 hr postoperative following a left hip arthroplasty. Which of the following laboratory values indicates the nurse should notify the provider?
Correct Answer: C
Rationale: Low hemoglobin (8.6 g/dL) indicates anemia, likely from surgical blood loss.
Question 3 of 5
A charge nurse is observing a newly licensed nurse care for a client who is at risk for falls. Which of the following findings should the nurse identify as a risk factor for falls?
Correct Answer: D
Rationale: Wearing socks without non-skid soles increases slip risk, contributing to falls.
Question 4 of 5
A nurse is reviewing the laboratory data of a client who is 1 day postoperative following an abdominal hysterectomy. Which of the following findings should the nurse report to the provider?
Correct Answer: C
Rationale: Elevated creatinine (2.3 mg/dL) suggests renal dysfunction, requiring provider notification.
Question 5 of 5
A nurse in an urgent care facility is collecting data from a client who was stung by a wasp. Which of the following findings indicates the client is experiencing anaphylaxis?
Correct Answer: A
Rationale: Difficulty swallowing signals airway swelling, a hallmark of anaphylaxis.