ATI LPN
ATI PN Adult Medical surgical 2023 IV Questions
Extract:
Question 1 of 5
A nurse is assisting with the care of a client who has a closed-chest tube drainage system. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Replacing a full drainage unit (
B) ensures the chest tube system functions properly, preventing complications.
Question 2 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 3 of 5
A nurse is caring for a client who is receiving intermittent bolus enteral feedings through a jejunostomy tube. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Elevating the head (
C) for 1 hour post-feeding prevents aspiration, a key safety measure.
Question 4 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 5 of 5
An occupational health nurse is interpreting the results of a tuberculin skin test for a group of clients who received the test 48 hours ago. Which of the following clients should the nurse identify as having a positive test result?
Correct Answer: C
Rationale: An elevated area of 15 mm (
C) indicates a positive TB test, suggesting possible infection.