ATI LPN Adult Medical Surgical 2023 II

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?

A. Place the client in a negative airflow room.B. Wear an N95 mask while providing care to the client.C. Administer an influenza immunization to the client.D. Have the client wear a surgical mask during transport.

Correct Answer: D

Rationale: A surgical mask during transport reduces droplet spread, aligning with influenza precautions.

Question 2 of 5

A nurse in a long-term care facility is providing care for a client who has gastroesophageal reflux (GERD). Which of the following interventions should the nurse implement?

A. Isolate the client in their room.B. Encourage the client to ambulate with a staff member.C. Administer a prescribed oral dose of trazodone to the client.D. Apply bilateral wrist restraints to the client.

Correct Answer: B

Rationale: Ambulation promotes gastric emptying and reduces reflux, an effective non-pharmacologic intervention for GERD.

Question 3 of 5

A nurse is reinforcing teaching about high-potassium foods with a client. Which of the following foods should the nurse recommend?

A. 1 cup of sliced cabbage.B. 1 cup sliced watermelon.C. 1 medium potato.D. 1 small apple.

Correct Answer: C

Rationale: Potatoes are high in potassium, making them a suitable recommendation for a client needing potassium-rich foods.

Question 4 of 5

A nurse is assisting with the care of a client who has a closed-chest tube drainage system. Which of the following actions should the nurse take?

A. Monitor for at least 150 mL of drainage every hour.B. Replace the unit when the drainage chamber is full.C. Clamp the tube for 30 min every 8 hr.D. Pin the tubing to the client's bed sheets.

Correct Answer: B

Rationale: Replacing the unit when full maintains system functionality and prevents complications like tension pneumothorax.

Question 5 of 5

An occupational health nurse is interpreting the results of a tuberculin skin test for a group of clients who received the test 48 hr ago. Which of the following clients should the nurse identify as having a positive test result?

A. A client whose injection site is ecchymotic.B. A client whose injection site has an elevated area measuring 15 mm (0.6 in).C. A client whose injection site is firm and measures 3 mm (0.1 in).D. A client whose injection site is scabbed.

Correct Answer: B

Rationale: An induration of 15 mm indicates a positive TB test, suggesting exposure or infection.

ATI LPN Adult Medical Surgical 2023 II | Nurselytic

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ATI LPN

ATI LPN