ATI LPN
ATI PN Adult Medical Surgical 2023 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is scheduled to undergo an esophagogastroduodenoscopy. Which of the following actions should the nurse take in preparation for the procedure?
Correct Answer: D
Rationale: Signed consent is a legal requirement before invasive procedures like an EGD.
Question 2 of 5
A nurse is caring for a client who is scheduled to undergo an esophagogastroduodenoscopy. Which of the following actions should the nurse take in preparation for the procedure?
Correct Answer: D
Rationale: Signed consent is a legal requirement before invasive procedures like an EGD.
Question 3 of 5
A nurse is preparing to administer heparin 15,000 units every 12 hr subcutaneously to a client who weighs 80 kg. Available is 10,000 units/mL. How many mL should the nurse administer with each dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 1.5
Rationale: Calculation: (15,000 units / 10,000 units/mL) = 1.5 mL, per dose requirement.
Extract:
Nurses' Notes
Vital Signs
Intake and Output
Postoperative day 1, 0900:
Client admitted following surgical removal of an abdominal
abscess. Client alert and oriented to person, place, and
time. Lung sounds clear bilaterally. Skin warm and dry to
touch. Capillary refill 2 seconds. Radial and pedal pulses
2+. Abdominal wound dressing dry and intact.
Question 4 of 5
A nurse on a medical-surgical unit is assisting in the care of a male client. Which of the following findings indicate a need for follow-up by the nurse? Select all that apply.
Correct Answer: B,F,G
Rationale: Heart rate, blood pressure, and urinary output require follow-up to monitor for postoperative complications like hypovolemia.
Extract:
Medical History.
Vital Signs
Nurses' Notes
Cerebrovascular accident 2 years ago Coronary artery disease
Hypertension
Question 5 of 5
A nurse is reviewing the client's medical record. After reviewing the medical record, which of the following actions should the nurse plan to take? For each potential provider's prescription, click to specify if the potential prescription is anticipated, nonessential, or contraindicated for the client.
| Options | Anticipated | Non-essential | Contraindicated |
|---|---|---|---|
| Assist the client to the bathroom. | |||
| Initiate seizure precautions. | |||
| Record GCS every $15 \mathrm{~min}$ for the first $4 \mathrm{hr}$. | |||
| Elevate the head of the bed | |||
| Keep the client's head in midline position | |||
| Encourage the client to cough | |||
| Decrease oxygen to $1.5 \mathrm{~L} / \mathrm{min}$ via nasal cannula |
Correct Answer: A: Anticipated, B: Non-essential, C: Non-essential, D: Anticipated, E: Anticipated, F: Non-essential, G: Contraindicated
Rationale: A, D, E are anticipated to support mobility, reduce ICP, and maintain alignment post-CVA; G is contraindicated without specific oxygen needs assessed.