ATI LPN
PN Adult Medical Surgical 2020 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has dementia and wanders frequently. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: A motion sensor mat alerts staff to wandering attempts, enhancing safety without restricting mobility.
Question 2 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 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 caring for a client who is postoperative and has a Jackson-Pratt drain in place. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: A dependent position promotes gravity-assisted drainage, preventing fluid buildup.
Question 5 of 5
A nurse is preparing to assist with serving a meal to a client who has vision loss. When delivering the meal tray, which of the following actions should the nurse take?
Correct Answer: B
Rationale: Describing food placement like a clock helps orient the client, promoting independence.