ATI LPN
ATI LPN Med Surg Exam 4 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is unconscious following a stroke. Which of the following nursing interventions is of highest priority?
Correct Answer: C
Rationale: Suctioning saliva is the highest priority to maintain airway clearance and prevent aspiration in an unconscious patient.
Question 2 of 5
A home health nurse is collecting data from a patient who has heart failure and notes the patient has had a weight gain of 1.8 kg (4 lb), as well as generalized edema, since the last visit 3 days ago. Which of the following actions should the nurse take next?
Correct Answer: B
Rationale: Notifying the RN case manager of the change in status is essential because a weight gain of this magnitude, along with generalized edema, may indicate worsening heart failure, requiring timely assessment and possible treatment adjustment.
Question 3 of 5
A nurse is reinforcing teaching with a newly licensed nurse about coup and contrecoup injuries. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?
Correct Answer: B
Rationale: This statement accurately describes coup (at the site of impact) and contrecoup (opposite side) injuries.
Question 4 of 5
A nurse is reinforcing teaching with a client about how to prevent the onset of manifestations of Raynaud's phenomenon. Which of the following statements should the nurse identify as an indication that the client needs further teaching?
Correct Answer: D
Rationale: Keeping the house at a cool temperature can provoke Raynaud's symptoms; a warm environment is recommended.
Question 5 of 5
A nurse is reinforcing teaching to a female client who has risk factors for stroke. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: A
Rationale: Managing cholesterol reduces the risk of stroke by preventing plaque buildup in arteries.