ATI LPN Comprehensive Predictor 2023 Exam 3

Extract:

Question 1 of 5

A nurse is caring for a client who is postoperative following a TURP. Which of the following findings should the nurse report to the provider?

A. The client reports a frequent urge to urinate.B. The client's urine is pink-tinged.C. The client's bladder irrigation fluid is clear.D. The client's urine output contains large clots.

Correct Answer: D

Rationale: Large clots in urine suggest hemorrhage, requiring immediate reporting. Urge to urinate, pink-tinged urine, and clear irrigation fluid are expected post-TURP.

Question 2 of 5

A nurse is caring for a client who is postoperative following a lumbar laminectomy. Which of the following actions should the nurse take?

A. Encourage the client to ambulate with a straight back.B. Instruct the client to avoid turning at the waist.C. Allow the client to sit in a chair for 2 hr at a time.D. Apply a heating pad to the surgical site.

Correct Answer: B

Rationale: Avoiding waist turning prevents strain on the surgical site. Ambulation should allow natural posture, prolonged sitting risks stiffness, and heating pads may increase swelling.

Question 3 of 5

A nurse is caring for a client who is receiving oxygen at 2 L/min via nasal cannula. Which of the following actions should the nurse take?

A. Apply petroleum jelly to the client's nares.B. Secure the cannula tubing behind the client's ears.C. Change the nasal cannula every 24 hr.D. Ensure the oxygen tubing is free of kinks.

Correct Answer: D

Rationale: Kink-free tubing ensures proper oxygen delivery. Petroleum jelly risks aspiration, securing tubing varies, and cannula changes aren't daily.

Question 4 of 5

A nurse is caring for a client who is postoperative following a craniotomy. Which of the following findings should the nurse report to the provider?

A. The client reports a headache.B. The client's pupils are unequal.C. The client's incision has minimal drainage.D. The client's blood pressure is 130/85 mm Hg.

Correct Answer: B

Rationale: Unequal pupils suggest increased intracranial pressure or neurological deterioration, requiring reporting. Headache, minimal drainage, and normal BP are less urgent.

Question 5 of 5

A nurse is caring for a client who is postoperative following a prostatectomy. Which of the following actions should the nurse take?

A. Monitor the client's urine output every 2 hr.B. Instruct the client to resume a high-fiber diet immediately.C. Apply a cold pack to the perineal area.D. Encourage the client to sit for prolonged periods.

Correct Answer: A

Rationale: Monitoring urine output detects complications like obstruction. High-fiber diets resume gradually, cold packs aren't standard, and prolonged sitting risks discomfort.

ATI LPN Comprehensive Predictor 2023 Exam 3 | Nurselytic

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