ATI LPN
ATI PN Adult Medical surgical 2023 IV Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has cardiomyopathy and is experiencing sensory overload. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Breaking care into small sessions (
D) reduces stimulation, helping manage sensory overload in cardiomyopathy.
Question 2 of 5
A nurse is caring for a client who has dysphagia following a stroke. When assisting the client at mealtime, which of the following actions should the nurse plan to take?
Correct Answer: A
Rationale: Oral care before meals (
A) clears debris, reducing aspiration risk in dysphagia post-stroke.
Question 3 of 5
A nurse is assisting a provider with a client who is to undergo thoracentesis. In which of the following positions should the nurse place the client?
Correct Answer: B
Rationale: Sitting upright leaning forward (
B) provides optimal access to the pleural space for thoracentesis.
Question 4 of 5
A nurse administered a dose of penicillin to a client 30 minutes ago. The client reports she has hives and is itching. Which of the following statements by the nurse is the highest priority?
Correct Answer: C
Rationale: Asking about breathing difficulty (
C) is the priority to assess for anaphylaxis, a life-threatening reaction.
Question 5 of 5
A nurse is reinforcing teaching about the care of a client who has tinea corporis with a newly licensed nurse. Which of the following should the nurse include in the teaching?
Correct Answer: D
Rationale: Avoiding direct contact (
D) prevents the spread of tinea corporis, a fungal infection, per the teaching.