ATI LPN
ATI PN Adult Medical Surgical 2023 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has a prescription for a sequential compression device (SCD). Which of the following actions should the nurse take when applying the SCD?
Correct Answer: B
Rationale: Ensuring two fingers fit ensures proper fit without excessive tightness, promoting circulation.
Question 2 of 5
A nurse is reinforcing discharge instructions with a client who is taking oral iron supplementation for anemia. Which of the following statements by the client demonstrates an understanding of the teaching?
Correct Answer: B
Rationale: Increased fiber prevents constipation, a common side effect of iron supplementation.
Question 3 of 5
A nurse is monitoring a client who is undergoing a blood transfusion of packed RBCs. The nurse should recognize that which of the following findings indicates fluid overload?
Correct Answer: A
Rationale: Dyspnea indicates fluid overload from a transfusion, as excess volume affects the lungs.
Extract:
Nurses' Notes
Vital Signs
Diagnostic Results
Intake and Output
Postoperative day 1, 0900:
Client admitted following surgical removal of an abdominal abscess. Client alert and oriented to person, place, and time. Lung sounds clear bilaterally. Skin warm and dry to touch. Capillary refill 2 seconds. Radial and pedal pulses 2+. Abdominal wound dressing dry and intact.
Question 4 of 5
The nurse is continuing to assist in the care of the client. For each data collection finding, click to specify if the finding on postoperative day 1 is consistent with hypovolemic shock or pulmonary embolism. Each finding may support more than 1 disease process or none at all.
| Options | Hypovolemic Shock | Pulmonary Embolism |
|---|---|---|
| Heart rate | ||
| Respiratory effort | ||
| Pain | ||
| Blood pressure | ||
| Mentation |
Correct Answer:
Rationale: At 0900, findings are normal, not indicating hypovolemic shock or pulmonary embolism.
Extract:
Question 5 of 5
A nurse is assisting with planning care for a client who has a decreased appetite following a surgical procedure. Which of the following interventions should the nurse recommend?
Correct Answer: B
Rationale: Small, frequent meals stimulate appetite and improve nutrition in postoperative clients.