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 obtaining a sterile urine specimen from a client who has an indwelling urinary catheter. Identify the sequence the nurse should follow. Use all the steps.
Correct Answer: A, B, C, D, E
Rationale: The document lists A, B, C, D, E: wiping the port (
A), documenting (
B), transferring urine (
C), aspirating (
D), and clamping (E), though clamping typically occurs first to collect urine.
Question 3 of 5
A nurse is reinforcing health promotion education at a community health fair. Which of the following statements by attendees indicates an understanding of the teaching?
Correct Answer: B
Rationale: Examining breasts a week post-period (
B) is correct timing when breasts are less tender, indicating understanding.
Question 4 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: D
Rationale: Delayed responses (
D) indicate rising intracranial pressure affecting brain function.
Question 5 of 5
A nurse enters a client's room and sees smoke coming from the bathroom. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Assisting the client to safety (
D) is the first action in a fire situation, prioritizing client well-being.