ATI LPN
PN Adult Medical Surgical 2020 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has dementia and is experiencing confusion. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Holiday decorations provide familiar cues, reducing disorientation in dementia.
Question 2 of 5
A nurse in an urgent care facility is collecting data from a client who was stung by a wasp. Which of the following findings indicates the client is experiencing anaphylaxis?
Correct Answer: A
Rationale: Difficulty swallowing signals airway swelling, a hallmark of anaphylaxis.
Question 3 of 5
A nurse is caring for a client who is postoperative following the placement of a colostomy. Which of the following findings indicates that the colostomy is functioning properly?
Correct Answer: B
Rationale: A pinkish-red stoma indicates healthy perfusion and proper colostomy function.
Question 4 of 5
A nurse is monitoring laboratory values for a client who is receiving hemodialysis and has a serum calcium level of 7.2 mg/dL. For which of the following should the nurse monitor?
Correct Answer: C
Rationale: Low calcium (hypocalcemia) can cause a positive Chvostek's sign, indicating nerve irritability.
Question 5 of 5
A nurse is reinforcing teaching about foot care for a client who has diabetes. Which of the following client statements indicates an understanding of the teaching?
Correct Answer: C
Rationale: Cotton socks keep feet dry, reducing infection risk in diabetes.