ATI LPN
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 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 2 of 5
A nurse is reinforcing discharge teaching with a client who has a new permanent pacemaker. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: C
Rationale: Using the opposite ear for cell phones minimizes interference with the pacemaker, showing understanding.
Question 3 of 5
A nurse is contributing to the plan of care for a client who is starting bowel training for the management of fecal incontinence. Which of the following interventions should the nurse recommend?
Correct Answer: B
Rationale: Post-meal restroom visits leverage the gastrocolic reflex to promote regular bowel movements.
Question 4 of 5
A nurse is caring for a client who has a prescription for propranolol for the treatment of atrial fibrillation. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Propranolol, a beta-blocker, should be withheld if systolic BP is <90 mm Hg to avoid exacerbating hypotension.
Question 5 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: A
Rationale: White tape on stair edges improves visibility, reducing fall risk for older adults.