ATI LPN
PN ATI Learning System Medical Surgical Final Quiz Questions
Extract:
Question 1 of 5
A nurse is collecting data from a client who has encephalitis due to West Nile virus. Which of the following findings should the nurse expect?
Correct Answer: B,C,E
Rationale: Stiff neck, photophobia, and lethargy are expected signs of encephalitis due to meningeal irritation and altered mental status.
Question 2 of 5
A nurse in an urgent care clinic is collecting data from a client who has extensive burns, including on her face. Which of the following data should the nurse collect first?
Correct Answer: B
Rationale: The nurse should first collect the respiratory rate to determine if the client has any signs of airway obstruction, inhalation injury, or respiratory distress, which are life-threatening complications of facial burns.
Question 3 of 5
A nurse is contributing to the plan of care for a client who has cancer and is scheduled to receive internal radiation therapy. Which of the following actions should the nurse recommend?
Correct Answer: A,C,D
Rationale: A private room, cover gown, and proper disposal of implants minimize radiation exposure risks.
Question 4 of 5
A nurse is reviewing a client's laboratory report. The client's ABG levels are pH 7.5, PaCO2 32 mm Hg, and HCO3 24 mEq/L. The nurse should determine that the client has which of the following acid-base imbalances?
Correct Answer: A
Rationale: Respiratory alkalosis occurs when the blood pH is high, the PaCO2 is low, and the HCO3 is normal or low, typically due to hyperventilation.
Question 5 of 5
A nurse is preparing to administer timolol eye drops for a client who has glaucoma. When instilling the medication, which of the following actions should the nurse take?
Correct Answer: C
Rationale: Applying pressure to the bridge of the nose after instillation prevents systemic absorption and adverse effects.