ATI PN Adult Medical Surgical 2023

Extract:

Question 1 of 5

A nurse is caring for a client who is postoperative following a right radical mastectomy. Which of the following actions should the nurse take to prevent the development of lymphedema?

A. Use the client's left arm to obtain blood samples.B. Keep both arms below the level of the client's heart.C. Limit range-of-motion exercises with the affected arm.D. Obtain blood pressure readings using the client's right arm.

Correct Answer: A

Rationale: Using the unaffected arm prevents lymphatic overload and reduces lymphedema risk.

Question 2 of 5

A nurse is reinforcing teaching with a client who has peripheral arterial disease. Which of the following instructions should the nurse include?

A. Elevate legs on pillows when in bed.B. Apply heating pad for $15 \mathrm{~min}$ twice per day.C. Wear knee-high support hose during the day.D. Begin an exercise program that includes walking.

Correct Answer: D

Rationale: Walking improves circulation in peripheral arterial disease, enhancing blood flow.

Extract:

Medical History.
Vital Signs
Nurses' Notes
Cerebrovascular accident 2 years ago Coronary artery disease
Hypertension

Question 3 of 5

A nurse is reviewing the client's medical record. After reviewing the medical record, which of the following actions should the nurse plan to take? For each potential provider's prescription, click to specify if the potential prescription is anticipated, nonessential, or contraindicated for the client.

Options	Anticipated	Non-essential	Contraindicated
Assist the client to the bathroom.
Initiate seizure precautions.
Record GCS every $15 \mathrm{~min}$ for the first $4 \mathrm{hr}$.
Elevate the head of the bed
Keep the client's head in midline position
Encourage the client to cough
Decrease oxygen to $1.5 \mathrm{~L} / \mathrm{min}$ via nasal cannula

Correct Answer: A: Anticipated, B: Non-essential, C: Non-essential, D: Anticipated, E: Anticipated, F: Non-essential, G: Contraindicated

Rationale: A, D, E are anticipated to support mobility, reduce ICP, and maintain alignment post-CVA; G is contraindicated without specific oxygen needs assessed.

Extract:

Question 4 of 5

A nurse is reinforcing teaching with a client who has a new prescription for alendronate for the treatment of osteoporosis. Which of the following instructions should the nurse include?

A. Take the medication right before eating breakfast.B. Chew the tablets thoroughly.C. Drink milk with the medication.D. Sit upright for 30 to 60 minutes after taking the medication.

Correct Answer: D

Rationale: Sitting upright prevents esophageal irritation, a common side effect of alendronate.

Question 5 of 5

A nurse is prioritizing care for four clients following change-of-shift report. Which of the following clients should the nurse attend to first?

A. A client who has Alzheimer's disease and requires assistance to the bathroomB. A client who has diverticulitis and a temperature of $38.3^{\circ} \mathrm{C}\left(100.9^{\circ} \mathrm{F}\right)$C. A client who has a prescription for a sputum specimen to be obtained before breakfastD. A client who sustained a head injury 2 days ago and has a decreased level of consciousness

Correct Answer: D

Rationale: Decreased consciousness post-head injury indicates potential deterioration, requiring immediate assessment.

ATI PN Adult Medical Surgical 2023 | Nurselytic

Nurselytic

ATI LPN

ATI LPN