ATI LPN
PN Adult Medical Surgical 2020 Questions
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?
Correct Answer: B
Rationale: Using the client's left arm for blood samples avoids procedures on the surgical side, reducing the risk of lymphedema by preventing additional stress on the lymphatic system.
Question 2 of 5
A nurse is assisting with the care of a client who has a seizure disorder. Which of the following supplies should the nurse have at the client's bedside at all times?
Correct Answer: A
Rationale: Suction equipment clears airways during seizures, ensuring safety.
Question 3 of 5
A nurse is reviewing a client's medical history to identify risk factors for osteoporosis. Which of the following findings is a risk factor for developing osteoporosis?
Correct Answer: C
Rationale: Smoking reduces bone mass, increasing osteoporosis risk.
Question 4 of 5
A nurse is assisting with the care of a client who has a chest tube following thoracic surgery. Which of the following findings should the nurse recognize as an indication of a tension pneumothorax?
Correct Answer: A
Rationale: No bubbling in the water seal chamber may indicate lung collapse, signaling tension pneumothorax.
Question 5 of 5
A nurse is assisting with care for a client who received a tuberculin skin test 72 hr ago. When collecting data from the test site, which of the following findings indicates a need for further testing?
Correct Answer: B
Rationale: Induration over 10 mm suggests TB exposure, warranting further tests.