ATI PN medical surgical exam 2023

Extract:

Question 1 of 5

A nurse is caring for a client who is postoperative. For which of the following findings should the nurse suspect the client is experiencing a deep-vein thrombosis?

A. Numbness of the affected extremity.B. Muscle spasms.C. Warmth of the affected extremity.D. Absent pedal pulse.

Correct Answer: C

Rationale: Warmth is a classic sign of deep-vein thrombosis due to inflammation and impaired blood flow; the other options are less specific.

Question 2 of 5

A nurse is reinforcing teaching with a client about dietary intake to promote wound healing. Which of the following vitamins should the nurse recommend?

A. Vitamin C.B. Thiamine.C. Niacin.D. Vitamin D.

Correct Answer: A

Rationale: Vitamin C is crucial for collagen formation and wound healing.

Question 3 of 5

A nurse is caring for a client who is 6 hr postoperative following a bowel resection. Which of the following findings is the priority for the nurse to report?

A. There is 20 mL of dark red drainage from the wound drainage device over the past 4 hours.B. The client reports a pain level of 6 on a scale from 1 to 10 at the incision site.C. There is 60 mL of dark yellow urine from the indwelling urinary catheter over the past 4 hours.D. The client arouses easily but quickly falls back asleep.

Correct Answer: D

Rationale: Excessive sleepiness could indicate a neurological complication or oversedation, making it the priority to report.

Question 4 of 5

A nurse is caring for a client who has anorexia related to AIDS. Which of the following laboratory values should the nurse monitor to confirm the client's nutritional intake is adequate?

A. CD4 T-cell count.B. Albumin.C. Lipase.D. Creatinine clearance.

Correct Answer: B

Rationale: Albumin reflects nutritional status and protein intake, key in managing AIDS-related anorexia.

Question 5 of 5

A nurse is reinforcing teaching about nutritional choices with a client who is postoperative following bariatric surgery. To reduce the client's risk of dumping syndrome, which of the following instructions should the nurse include?

A. Use honey instead of white sugar.B. Take sucralfate 30 minutes before eating.C. Lie down for 30 minutes after eating.D. Drink at least 100 milliliters of liquid with meals.

Correct Answer: C

Rationale: Lying down after eating slows gastric emptying, reducing the risk of dumping syndrome.

ATI PN medical surgical exam 2023 | Nurselytic

Nurselytic

ATI LPN

ATI LPN