ATI LPN
ATI LPN Adult Medical Surgical 2023 II Questions
Extract:
Question 1 of 5
A nurse is collecting data from a client who has a subdural hematoma following a motor-vehicle crash. For which of the following findings should the nurse identify that the client is experiencing an increase in intracranial pressure?
Correct Answer: C
Rationale: Delayed verbal responses indicate rising intracranial pressure affecting brain function.
Question 2 of 5
A nurse is caring for a client who is postoperative following the placement of a colostomy. Which of the following findings indicates the colostomy is functioning properly?
Correct Answer: B
Rationale: Passing flatus indicates the colostomy is functioning by expelling gas, a sign of normal bowel activity.
Question 3 of 5
A nurse is preparing to perform tracheostomy care for a client. In which order should the nurse take the following steps?
Correct Answer: C,B,D,A
Rationale: Ensuring communication first maintains client comfort, followed by dressing removal, cleaning, and applying new ties.
Question 4 of 5
A nurse is caring for a client who is receiving intermittent bolus enteral feedings through a jejunostomy tube. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Elevating the head of the bed prevents aspiration, a key risk during enteral feedings.
Question 5 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: D
Rationale: Using the left arm for blood samples avoids trauma to the right arm, reducing lymphedema risk post-mastectomy.