ATI LPN
PN ATI Learning System Medical Surgical Final Quiz Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has a stage III pressure ulcer on his heel. When preparing to irrigate the wound, which of the following actions should the nurse take first?
Correct Answer: C
Rationale: Checking the client's pain level is the first step to ensure comfort and provide analgesia if needed before irrigating the wound.
Question 2 of 5
A nurse is preparing to administer timolol eye drops for a client who has glaucoma. When instilling the medication, which of the following actions should the nurse take?
Correct Answer: C
Rationale: Applying pressure to the bridge of the nose after instillation prevents systemic absorption and adverse effects.
Question 3 of 5
A nurse is caring for a client who begins having a tonic-clonic seizure while sitting in a chair at the bedside. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Lowering the client to the floor and protecting the head prevents injury during the seizure.
Question 4 of 5
A nurse is reinforcing discharge teaching about improving gas exchange with a client who has emphysema. Which of the following information should the nurse include in the teaching?
Correct Answer: A
Rationale: Pursed-lip breathing helps improve gas exchange by preventing air trapping and increasing exhalation time.
Question 5 of 5
A nurse is reinforcing discharge teaching with a client who has a new permanent pacemaker. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: A
Rationale: Checking the heart rate daily monitors the pacemaker's function and detects malfunctions.