ATI LPN Adult Medical Surgical 2023 II | Nurselytic

Questions 84

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ATI LPN Adult Medical Surgical 2023 II Questions

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 1 of 4

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:

Medical History
Nurse’s Notes
Current Medications
• Angina
• Atrial fibrillation
• Hypertension
• Hyperlipidemia


Question 2 of 4

A nurse is preparing to administer medications to a 68-year-old female client admitted to the cardiology unit. On the second day following admission, which medication requires clarification prior to administration? Complete the following sentence by using the list of options: The nurse should clarify the prescription for ___ due to the client's ___.

Correct Answer: B,D

Rationale: The nurse should clarify the prescription for warfarin due to the client's reported dizziness, which may indicate bleeding.

Extract:

History and Physical
Diagnostic Results
Biopsy Results
• The client started menses at age 16.
• The client’s first pregnancy was at age 25.


Question 3 of 4

A nurse in a provider's office is reviewing the medical record of a 38-year-old Native American female client. Based on the information provided in the medical record, which of the following findings places the client at risk for breast cancer? (Select all that apply.)

Correct Answer: A,B

Rationale: BRCA1 mutation and Native American race are established risk factors for breast cancer.

Extract:

Nurse’s Notes
History and Physical
Vital Signs
Diagnostic Results
The client denies pain or discomfort but reports difficulty concentrating. Bilateral breath sounds are clear. Mucous membranes appear pale, and the apical pulse is rapid but regular.


Question 4 of 4

A nurse is assisting in the care of a 62-year-old female client in a provider's office who has iron deficiency anemia. Which of the following instructions should the nurse include when educating the client about iron supplementation? (Select all that apply.)

Correct Answer: A,B,C

Rationale: Empty stomach aids absorption, fiber prevents constipation, and vitamin C enhances iron uptake.

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 5 of 4

Complete the diagram by dragging from the choices below to specify. Condition most likely experiencing, Two actions to take, Two parameters to monitor

Action to Take

Sepsis
Cellulitis
AVF thrombosis
Endocarditis

Potential Condition

Administer a broad-spectrum antibiotic
Perform a swab culture of the AVF site
Insert an indwelling urinary catheter
Administer aspirin 375 mg PO
Maintain the client on bed rest.

Parameter to Monitor

White blood cell count
Creatinine level
Blood glucose level
Blood cultures
AVF site circumference

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.

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