ATI LPN
ATI PN Adult Medical Surgical 2023 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who had a stroke and is experiencing dysphagia. Which of the following actions should the nurse take when assisting the client to eat?
Correct Answer: D
Rationale: Tilting the head forward facilitates safe swallowing in clients with dysphagia.
Question 2 of 5
A nurse is reinforcing teaching about home safety measures with a client who is visually impaired. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: Marking the edges of steps helps a visually impaired client identify changes in elevation, reducing the risk of falls.
Question 3 of 5
A nurse is collecting data from a client who is 8 hr postoperative following abdominal surgery. The client's blood pressure is 94/56 mm Hg. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: Increasing the IV flow rate stabilizes blood pressure by addressing potential fluid loss.
Extract:
Medical History.
Vital Signs
Nurses' Notes
Cerebrovascular accident 2 years ago Coronary artery disease
Hypertension
Question 4 of 5
A nurse is reviewing the client's medical record. After reviewing the medical record, which of the following actions should the nurse plan to take? For each potential provider's prescription, click to specify if the potential prescription is anticipated, nonessential, or contraindicated for the client.
| Options | Anticipated | Non-essential | Contraindicated |
|---|---|---|---|
| Assist the client to the bathroom. | |||
| Initiate seizure precautions. | |||
| Record GCS every $15 \mathrm{~min}$ for the first $4 \mathrm{hr}$. | |||
| Elevate the head of the bed | |||
| Keep the client's head in midline position | |||
| Encourage the client to cough | |||
| Decrease oxygen to $1.5 \mathrm{~L} / \mathrm{min}$ via nasal cannula |
Correct Answer: A: Anticipated, B: Non-essential, C: Non-essential, D: Anticipated, E: Anticipated, F: Non-essential, G: Contraindicated
Rationale: A, D, E are anticipated to support mobility, reduce ICP, and maintain alignment post-CVA; G is contraindicated without specific oxygen needs assessed.
Extract:
Question 5 of 5
A nurse is caring for a young adult client who has testicular cancer and expresses concern about their sexual function following an orchiectomy of the involved testicle. Which of the following responses should the nurse make?
Correct Answer: D
Rationale: A single orchiectomy does not typically impair erectile function, addressing the client's concern accurately.