ATI LPN
ATI LPN Adult Medical Surgical 2023 II Questions
Extract:
Question 1 of 5
A nurse is caring for a client who was admitted with type 2 diabetes mellitus. Which of the following findings indicates hyperglycemia?
Correct Answer: A
Rationale: Kussmaul respirations indicate metabolic acidosis, a complication of hyperglycemia in diabetes.
Question 2 of 5
A nurse is caring for four clients. Which of the following clients should the nurse identify as at risk for inner ear inflammation?
Correct Answer: B
Rationale: Viral respiratory infections can spread to the inner ear, increasing the risk of inflammation like otitis media.
Question 3 of 5
A nurse is reinforcing teaching with a client who has a new ileostomy. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: C
Rationale: Cutting the wafer 1/4 inch larger than the stoma ensures a proper fit without irritating the skin, showing understanding.
Question 4 of 5
A nurse is caring for a client who has a distal radius fracture with a short arm cast applied. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Frequent neurovascular checks detect complications like compartment syndrome early in a casted extremity.
Question 5 of 5
A nurse is caring for a client who has a peripheral IV infusion and notes that the client's arm is edematous, cool, and tender at the catheter insertion site. Which of the following complications of IV therapy should the nurse suspect?
Correct Answer: A
Rationale: Edema, coolness, and tenderness suggest infiltration, where IV fluid leaks into surrounding tissue.