ATI LPN
ATI LPN Adult Medical Surgical 2023 II Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has a peripheral IV infusion and notes that the client's arm is edematous, cool, and tender at the catheter insertion site. Which of the following complications of IV therapy should the nurse suspect?
Correct Answer: A
Rationale: Edema, coolness, and tenderness suggest infiltration, where IV fluid leaks into surrounding tissue.
Question 2 of 5
A nurse is reinforcing teaching with a client who has acute glomerulonephritis with edema. Which of the following statements should the nurse make?
Correct Answer: B
Rationale: Reducing sodium intake helps manage edema in glomerulonephritis by decreasing fluid retention.
Question 3 of 5
A nurse is reinforcing teaching about high-potassium foods with a client. Which of the following foods should the nurse recommend?
Correct Answer: C
Rationale: Potatoes are high in potassium, making them a suitable recommendation for a client needing potassium-rich foods.
Question 4 of 5
An occupational health nurse is interpreting the results of a tuberculin skin test for a group of clients who received the test 48 hr ago. Which of the following clients should the nurse identify as having a positive test result?
Correct Answer: B
Rationale: An induration of 15 mm indicates a positive TB test, suggesting exposure or infection.
Question 5 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?
Correct Answer: C
Rationale: Delayed verbal responses indicate rising intracranial pressure affecting brain function.