ATI LPN
ATI PN medical surgical exam 2023 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is two days postoperative following abdominal surgery. The nurse auscultates hypoactive bowel sounds, and the client reports cramping abdominal pain. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: Requesting NPO status prevents further irritation of the gut while hypoactive bowel sounds and pain are assessed.
Question 2 of 5
A nurse is preparing a client for dressing change and hygiene measures. Which of the following actions should the nurse take to ensure proper infection control?
Correct Answer: D
Rationale: Hand washing before touching the sterile field is a fundamental infection control measure.
Question 3 of 5
A nurse is caring for a client who has an indwelling urinary catheter. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Securing the catheter to the thigh prevents pulling and reduces infection risk.
Question 4 of 5
A nurse is collecting data from a client about her current pain status. Which of the following Questions should the nurse ask to determine the quality of the client's pain?
Correct Answer: C
Rationale: Asking 'What does your pain feel like?' directly assesses the quality (e.g., sharp, dull) of the pain, which is essential for a comprehensive pain assessment.
Question 5 of 5
A nurse is collecting data from a client who has iron-deficiency anemia. Which of the following should the nurse monitor for the clinical manifestation of cheilosis?
Correct Answer: A
Rationale: Cheilosis, cracks at the mouth corners, is a sign of iron-deficiency anemia due to impaired tissue integrity.