ATI LPN
PN Adult Medical Surgical 2020 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is postoperative following the placement of a colostomy. Which of the following findings indicates that the colostomy is functioning properly?
Correct Answer: B
Rationale: A pinkish-red stoma indicates healthy perfusion and proper colostomy function.
Question 2 of 5
A nurse is assisting with the preparation of a client who is scheduled for a paracentesis. In which of the following positions should the nurse place the client during the procedure?
Correct Answer: D
Rationale: Leaning forward facilitates fluid drainage during paracentesis by shifting abdominal organs upward.
Question 3 of 5
A nurse is caring for a client who is experiencing a generalized tonic-clonic seizure. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Lorazepam IV can stop a seizure by enhancing GABA activity, reducing seizure duration.
Question 4 of 5
A nurse is reviewing the ABG values of a client who has pneumonia. Which of the following findings indicates the client is developing respiratory acidosis?
Correct Answer: D
Rationale: Elevated PaCO2 above 45 mmHg indicates respiratory acidosis due to impaired CO2 elimination.
Question 5 of 5
A nurse is preparing to administer an intermittent enteral feeding to a client who has a nasogastric tube. Which of the following actions should be the priority for the nurse to take?
Correct Answer: B
Rationale: Elevating the bed to 30° prevents aspiration, a critical safety concern during enteral feeding.