ATI LPN Adult Medical Surgical 2023 II

Extract:

Question 1 of 5

A nurse is caring for a client who has a new diagnosis of tuberculosis (TB). The client asks the nurse why she needs to take four different antituberculosis medications. Which of the following replies should the nurse make?

A. Adverse effects occur more often and are more severe when you take only one antituberculosis medication.B. Taking several antituberculosis medications will protect your liver from toxic effects.C. The organism that causes TB becomes resistant to antituberculosis medications when you only take one medication.D. People who have a severe form of TB need several antituberculosis medications, but those who have less severe TB need just one medication.

Correct Answer: C

Rationale: Multiple drugs prevent TB resistance, a critical factor due to the organism's ability to mutate.

Question 2 of 5

A nurse is collecting data from a client who has a subdural hematoma following a motor-vehicle crash. For which of the following findings should the nurse identify that the client is experiencing an increase in intracranial pressure?

A. The client has ecchymosis around the eyes.B. The client reports ringing in the ears.C. The client has a delayed response to verbal commands.D. The client is unable to remember details of the motor-vehicle crash.

Correct Answer: C

Rationale: Delayed verbal responses indicate rising intracranial pressure affecting brain function.

Question 3 of 5

A nurse is reinforcing teaching about environmental modifications in the home with a family member of a client who has Alzheimer's disease. Which of the following information should the nurse include in the teaching?

A. Place throw rugs on the floor.B. Leave the television on.C. Install locks at the top of doors.D. Schedule alternate caregivers.

Correct Answer: C

Rationale: High locks prevent wandering, a common safety issue in Alzheimer's, enhancing home safety.

Question 4 of 5

A nurse is caring for a client who is receiving intermittent bolus enteral feedings through a jejunostomy tube. Which of the following actions should the nurse take?

A. Rotate the jejunostomy tube once per day.B. Administer the feeding solution at a cold temperature.C. Elevate the head of the client's bed for 1 hr after the feeding.D. Flush the tube with 90 mL of sterile water before and after the feeding.

Correct Answer: C

Rationale: Elevating the head of the bed prevents aspiration, a key risk during enteral feedings.

Question 5 of 5

A nurse is providing first aid for a client who has a minor burn on one hand. Which of the following actions should the nurse take? (Select all that apply.)

A. Apply ice to the larger blisters.B. Allow the affected area to remain open to air.C. Run cool water over the affected area.D. Administer ibuprofen for pain.

Correct Answer: C,D

Rationale: Cool water reduces burn progression, and ibuprofen manages pain; ice and air exposure can worsen damage.

ATI LPN Adult Medical Surgical 2023 II | Nurselytic

Nurselytic

ATI LPN

ATI LPN