ATI LPN
ATI LPN Advanced Med Surg Exam I Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is difficult to arouse and very sleepy for several hours following a generalized tonic-clonic seizure. Which of the following descriptions should the nurse use when documenting this finding in the medical record?
Correct Answer: A
Rationale: The postictal phase is the period after a seizure characterized by drowsiness and difficulty arousing.
Question 2 of 5
A client has a herniated lumbar disk at L5. The nurse knows that which of the following symptoms needs to be immediately reported to the RN or physician?
Correct Answer: A
Rationale: Bowel or bladder incontinence may indicate cauda equina syndrome, requiring urgent intervention.
Question 3 of 5
The nurse is checking patency of a new right arm AV fistula. What action does the nurse use to do this?
Correct Answer: B
Rationale: Palpating for a thrill and auscultating for a bruit over the fistula is the correct method for assessing its patency. These signs confirm proper blood flow through the fistula.
Question 4 of 5
A nurse is reinforcing teaching for a client who has chronic kidney disease about the process of continuous ambulatory peritoneal dialysis (CAPD). Which of the following should the nurse include in the teaching?
Correct Answer: C
Rationale: CAPD involves continuous dialysis 24 hours a day, 7 days a week, with multiple exchanges of dialysate throughout the day to manage CKD symptoms.
Question 5 of 5
A charge nurse overhears a newly licensed nurse providing instructions to a female client on the proper steps to collect a midstream urine specimen. Which of the following statements made by the newly licensed nurse requires the charge nurse to intervene?
Correct Answer: C
Rationale: Using the provided towelette to cleanse the area by moving in a back-and-forth motion is incorrect and requires intervention. The proper technique for cleansing the area involves using the towelette to wipe from front to back in a single, continuous motion to reduce the risk of introducing bacteria.