ATI LPN
ATI LPN Adult Medical Surgical 2023 II Questions
Extract:
Question 1 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 (itching) is a common early sign of anaphylaxis, a severe allergic reaction to penicillin.
Question 2 of 5
A nurse is assisting with the care of a client who has a seizure disorder. Which of the following supplies should the nurse have at the client's bedside at all times?
Correct Answer: D
Rationale: Suction equipment clears secretions during a seizure, preventing airway obstruction, a critical safety measure.
Extract:
Vital Signs
History and Physical
Nurse’s Notes
• Temperature: 39.1°C (102.4°F)
• Heart rate: 112/min
• Respiratory rate: 28/min
• Blood pressure: 166/85 mm Hg
• Oxygen saturation: 93% on room air
Question 3 of 5
Complete the diagram by dragging from the choices below to specify. Condition most likely experiencing, Two actions to take, Two parameters to monitor
Correct Answer: A,B,C
Rationale: Sepsis or cellulitis may be present; antibiotics and cultures are key actions; labs like WBC and blood cultures confirm infection.
Extract:
Vital Signs
Diagnostic Results
Pain Rating
Nurse’s Notes
Allergy History
• Blood pressure: 142/84 mm Hg
• Temperature: 38.5°C (101.3°F)
• Respiratory rate: 24/min
• Heart rate: 99/min
• SpO₂: 96% on room air
Question 4 of 5
A nurse is caring for a 45-year-old male client in a medical-surgical unit who has a new prescription for cefazolin. Which of the following findings should the nurse identify as contraindications to administering cefazolin? (Select all that apply.)
Correct Answer: A,C
Rationale: Penicillin allergy risks cross-reactivity with cefazolin; furosemide with cefazolin can enhance nephrotoxicity.
Extract:
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: D
Rationale: Asymmetry in breast size is normal, indicating the client understands typical breast variations during self-examination teaching.