ATI LPN
ATI PN Adult Medical surgical 2023 IV Questions
Extract:
Question 1 of 5
A nurse is contributing to the plan of care for a client who has influenza. Which of the following interventions should the nurse include in the plan?
Correct Answer: D
Rationale: A surgical mask during transport (
D) prevents droplet spread of influenza, an appropriate intervention.
Question 2 of 5
A nurse is assisting with the care of a client who is receiving penicillin via intermittent IV bolus. Which of the following should the nurse recognize as a clinical manifestation of anaphylaxis?
Correct Answer: D
Rationale: Pruritus (
D) is a common early sign of anaphylaxis, an allergic reaction to penicillin.
Question 3 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.
Question 4 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: A
Rationale: A pinkish-red stoma (
A) indicates good blood supply, a sign of proper colostomy function.
Question 5 of 5
A nurse is caring for a client who is in skin traction. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Ensuring weights hang freely (
A) maintains proper traction alignment, critical for effectiveness.