ATI LPN
ATI LPN Med Surg Exam 7 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is 1 day postoperative following a left radical mastectomy. Which of the following client behaviors should alert the nurse that the client is having difficulty adjusting to the loss of her breast?
Correct Answer: A
Rationale: Refusing to look at the incision suggests difficulty accepting the body change, indicating potential body image issues or emotional distress.
Question 2 of 5
A nurse is caring for a client who has Alzheimer's disease and is confused. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Familiar items provide comfort and reduce confusion in Alzheimer's patients, creating a more secure environment.
Question 3 of 5
Following admission, a client with a vascular occlusion of the right lower extremity calls the nurse and reports difficulty sleeping because of cold feet. Which of the following nursing actions should the nurse take to promote the client's comfort?
Correct Answer: B
Rationale: Slipper socks safely warm the feet, improving comfort without risking burns or irritation in a client with vascular issues.
Question 4 of 5
A nurse is caring for a client who is in the oliguric phase of acute kidney injury. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Monitoring intake and output hourly ensures accurate fluid balance management, critical in preventing complications like fluid overload in AKI.
Question 5 of 5
A nurse is reviewing nutrition therapy with a client who has Cushing's disease. Which of the following dietary modifications should the nurse include in this discussion?
Correct Answer: B
Rationale: Decreasing sodium intake manages fluid retention and hypertension in Cushing's disease, addressing common symptoms like edema.