ATI LPN
ATI PN adult Medical Surgical 2020 with NGN Exam 3 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is visually impaired. When delivering the client's meal tray, which of the following actions should the nurse take?
Correct Answer: C
Rationale: Describing the food placement as a clock is a common practice that helps visually impaired individuals locate their food independently.
Question 2 of 5
A nurse is assisting with care for a client who received a tuberculin skin test 72 hours ago. When collecting data from the test site, which of the following findings indicates a need for further testing?
Correct Answer: C
Rationale: A palpable area of induration greater than 10 mm is considered a positive result in certain populations, requiring further evaluation.
Question 3 of 5
A nurse is caring for a client who is postoperative following a right radical mastectomy. Which of the following actions should the nurse take to prevent the development of lymphedema?
Correct Answer: C
Rationale: Using the left arm for blood samples avoids pressure on the right arm's lymphatic channels, reducing lymphedema risk.
Question 4 of 5
A nurse is reinforcing skin care teaching with a client who has systemic lupus erythematosus (SLE). Which of the following statements by the client indicates an understanding of the teaching? (Select all that apply.)
Correct Answer: A, B, C
Rationale: Sunblock (
A), lotion (
B), and gentle drying (
C) are appropriate for SLE skin care, protecting and hydrating sensitive skin.
Question 5 of 5
A nurse is caring for a client who has leukemia. Which of the following findings is the highest priority for the nurse to report to the provider?
Correct Answer: B
Rationale: An elevated temperature in leukemia indicates possible infection, critical in an immunocompromised client.