ATI LPN
PN ATI Learning System Medical Surgical Final Quiz Questions
Extract:
Question 1 of 5
A nurse is caring for a client who begins having a tonic-clonic seizure while sitting in a chair at the bedside. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Lowering the client to the floor and protecting the head prevents injury during the seizure.
Question 2 of 5
A nurse is obtaining a weekly weight for a client who has obesity and osteoarthritis and is on a weight management program. The nurse determines that the client gained 1.36 kg (3 lb) in the past week. Which of the following statements should the nurse make?
Correct Answer: C
Rationale: This statement is empathetic and supportive. It shows that the nurse is interested in the client's situation and wants to help them identify and overcome any obstacles that may have affected their weight loss.
Question 3 of 5
A nurse is contributing to the plan of care for a client who had a stroke. The client has hemiplegia and occasional urinary incontinence. Which of the following interventions should the nurse recommend?
Correct Answer: A
Rationale: Offering a bedpan every 2 hr prevents urinary retention and promotes bladder retraining.
Question 4 of 5
A nurse is reinforcing discharge teaching with a client who has AIDS. Which of the following statements should the nurse include?
Correct Answer: B
Rationale: Cleaning with bleach prevents infection spread, suitable for a client with a weakened immune system.
Question 5 of 5
A nurse in a provider's office is caring for a client who has blepharitis. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: The first step in the nursing process is assessment. Even with a diagnosis of blepharitis, the nurse must inspect the eyes to evaluate the current severity, presence of drainage (e.g., purulent vs. serous), redness, or signs of secondary infection (e.g., bacterial involvement). This informs subsequent interventions.