ATI LPN
ATI LPN Med Surg Exam 4 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who had a stroke and has dysphagia. The nurse should monitor the client for which of the following complications?
Correct Answer: A
Rationale: Dysphagia increases the risk of aspiration, especially when swallowing difficulties are present, making it essential to monitor for signs of aspiration.
Question 2 of 5
A nurse is contributing to the plan of care for a client who is 24 hr postoperative following an aortic valve replacement with a biologic valve. Which of the following interventions should the nurse include in the plan?
Correct Answer: B
Rationale: Monitoring daily weight is essential following valve replacement to detect fluid retention or heart failure, which can indicate compromised cardiac function.
Question 3 of 5
A nurse is reinforcing teaching with a newly licensed nurse about coup and contrecoup injuries. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?
Correct Answer: B
Rationale: This statement accurately describes coup (at the site of impact) and contrecoup (opposite side) injuries.
Question 4 of 5
A nurse is reinforcing teaching with a client who has peripheral arterial disease and reports pain when walking. The nurse should identify that the client can use which of the following herbal supplements to increase pain-free walking distance?
Correct Answer: D
Rationale: Ginkgo biloba has been shown to improve blood flow and may help increase pain-free walking distance in clients with peripheral arterial disease.
Question 5 of 5
A nurse has received report on a client who has a basilar skull fracture. Which of the following findings should the nurse anticipate with this client?
Correct Answer: B,C
Rationale: Pooling of blood around the eyes ('raccoon eyes') and bruising over the mastoid process (Battle's sign) are classic signs of a basilar skull fracture.