ATI LPN Adult Medical Surgical 2023 II | Nurselytic

Questions 84

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ATI LPN Adult Medical Surgical 2023 II 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 the colostomy is functioning properly?

Correct Answer: B

Rationale: Passing flatus indicates the colostomy is functioning by expelling gas, a sign of normal bowel activity.

Question 2 of 5

A nurse is caring for a client who has a sulfa allergy. Which of the following prescriptions should the nurse clarify with the provider?

Correct Answer: A

Rationale: Celecoxib, a sulfonamide-derived NSAID, should be clarified due to the client's sulfa allergy.

Question 3 of 5

A nurse is collecting data from a client who has a subdural hematoma following a motor-vehicle crash. For which of the following findings should the nurse identify that the client is experiencing an increase in intracranial pressure?

Correct Answer: C

Rationale: Delayed verbal responses indicate rising intracranial pressure affecting brain function.

Question 4 of 5

A nurse is preparing to administer subcutaneous enoxaparin. In which order should the nurse perform the following steps?

Order the Items

Source Container

Locate the injection site 5 cm (2 in) to the right or left of the umbilicus.
Slowly inject the medication into the site without aspirating.
Pinch clean skin at the injection site and dart the needle into the skinfold at a 90° angle.
Check the medication administration record to verify the client's allergies.
Ensure an air bubble is present in the prefilled enoxaparin syringe.

Correct Answer: D,A,E,C,B

Rationale: Checking allergies first ensures safety, followed by site selection, air bubble check, injection, and administration.

Question 5 of 5

A nurse is reinforcing discharge teaching for a client who had a cerebrovascular accident (CVA). Which of the following statements should the nurse include?

Correct Answer: A

Rationale: Grab bars enhance safety and independence post-CVA by aiding balance in the shower.

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