ATI LPN
ATI LPN Med Surg Exam 7 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who becomes unresponsive. While administering CPR, which of the following actions should the nurse take?
Correct Answer: C
Rationale: Chest compressions at 100-120/min ensure effective circulation during CPR, adhering to current resuscitation guidelines.
Question 2 of 5
A nurse is assisting with the plan of care for a client who has pneumonia and requires chest percussion, vibration, and postural drainage. Which of the following actions should the nurse plan to complete first?
Correct Answer: A
Rationale: Auscultating lung fields first identifies congestion areas, guiding effective positioning and techniques for chest physiotherapy.
Question 3 of 5
The nurse is caring for a client with cirrhosis, portal hypertension, and encephalopathy. Which of the following orders would be anticipated to lower the ammonia level? (Select All that Apply)
Correct Answer: A,D
Rationale: Rifaximin reduces ammonia-producing bacteria (
A), and lactulose traps and excretes ammonia (
D). Low sodium (
B) manages ascites, and low protein (
C) is less emphasized now to avoid malnutrition.
Question 4 of 5
Assessment findings of a client presenting to the emergency room include cramping pain in the left lower quadrant, weakness, bloating high-pitched bowel sounds, and a low grade fever. Which of the following orders would the nurse anticipate?
Correct Answer: C
Rationale: Symptoms suggest possible bowel obstruction or diverticulitis; an NG tube decompresses the stomach, relieving obstruction symptoms. High-fiber diets worsen acute diverticulitis, prednisone is not first-line for diverticulitis, and increased meals are contraindicated during acute episodes.
Question 5 of 5
Following admission, a client with a vascular occlusion of the right lower extremity calls the nurse and reports difficulty sleeping because of cold feet. Which of the following nursing actions should the nurse take to promote the client's comfort?
Correct Answer: B
Rationale: Slipper socks safely warm the feet, improving comfort without risking burns or irritation in a client with vascular issues.