ATI LPN
ATI LPN Med Surg Exam 4 Questions
Extract:
Question 1 of 5
A nurse is collecting data from a client at a follow-up clinic visit for acute low back pain. A goal for this client is to use proper body mechanics at all times. Which of the following findings indicates that the client is meeting this goal?
Correct Answer: D
Rationale: Facing the direction of movement prevents twisting of the spine, reduces strain on the back, and promotes safe movement, indicating proper body mechanics.
Question 2 of 5
A nurse is caring for a client who is scheduled for a Tensilon challenge test to check for myasthenia gravis. Which of the following findings should the nurse identify as a positive result?
Correct Answer: A
Rationale: A positive Tensilon test result is temporary improvement in muscle strength, confirming myasthenia gravis.
Question 3 of 5
A nurse is caring for a client who has thrombophlebitis and is receiving a continuous heparin infusion. Which of the following medications should the nurse have available to reverse heparin's effects?
Correct Answer: B
Rationale: Protamine sulfate is the specific antidote for heparin, used to reverse its anticoagulant effects.
Question 4 of 5
A nurse is caring for a client who had a right-sided stroke and is exhibiting homonymous hemianopsia when eating. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Encouraging the client to look for food on the left side of the tray compensates for the visual field deficit caused by homonymous hemianopsia.
Question 5 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.