ATI LPN
ATI LPN Med Surg Midterm Questions
Extract:
Question 1 of 5
A nurse is assisting with the care of a client who is postoperative following a total hip replacement. Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: Swelling at the surgical site may indicate infection or hematoma, requiring prompt reporting.
Question 2 of 5
A nurse is collecting data from a client who has a history of atrial fibrillation and is receiving amiodarone. Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: Blurred vision may indicate amiodarone toxicity, particularly affecting the eyes, and should be reported. Other findings are normal.
Question 3 of 5
A nurse is delegating tasks for an assistive personnel (AP) to perform for a client who is 1-day postoperative following cardiac surgery. Which of the following tasks should the nurse perform herself?
Correct Answer: D
Rationale: Removing the sternal dressing requires a nurse's expertise to assess the surgical site for complications, which is beyond an AP's scope. Shower assistance, ambulation, and vital sign measurement can be delegated.
Question 4 of 5
A nurse is providing change-of-shift report to another nurse for a client using the Introduction, Situation, Background, Assessment and Recommendation (ISBARR) communication tool, which of the following information should the nurse include as part of the situation component of this communication tool?
Correct Answer: C
Rationale: The situation component of ISBARR includes the client's current medical condition or reason for admission, providing context for the report.
Question 5 of 5
A nurse is collecting data from a client who is at the end of life. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Irregular respirations, such as Cheyne-Stokes respirations, are common at the end of life due to the body's declining ability to regulate breathing. Moist mucous membranes, tachycardia, and hypertension are not typical as the body shuts down.