ATI LPN
ATI PN Adult Medical surgical 2023 IV Questions
Extract:
Question 1 of 5
A nurse is collecting data from a client who has peritonitis. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: Absent bowel sounds (
C) are expected in peritonitis due to inflammation causing ileus.
Question 2 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 (
C) for 1 hour post-feeding prevents aspiration, a key safety measure.
Question 3 of 5
A nurse is reinforcing teaching with a client who is taking enoxaparin. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: C
Rationale: Using an electric razor (
C) reduces bleeding risk, a critical precaution with enoxaparin.
Question 4 of 5
A nurse is contributing to the plan of care for a client who is starting bowel training for the management of fecal incontinence. Which of the following interventions should the nurse recommend?
Correct Answer: D
Rationale: Assisting to the restroom post-meals (
D) uses the gastrocolic reflex to promote bowel regularity.
Question 5 of 5
A nurse is collecting data from a client who has Cushing's syndrome. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Easy bruising (
B) is expected in Cushing's syndrome due to fragile skin from excess cortisol.