ATI LPN adult medical surgical 2023 | Nurselytic

Questions 61

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ATI LPN adult medical surgical 2023 Questions

Extract:


Question 1 of 5

A nurse is contributing to the plan of care for a client who has had severe diarrhea for the past 3 days and is now beginning solid foods. Which of the following foods should the nurse include in the plan of care?

Correct Answer: A

Rationale: Applesauce is gentle on the digestive system and helps firm stools, suitable for reintroducing solids after diarrhea.

Question 2 of 5

A nurse is preparing to discontinue a client's intravenous infusion. Identify the sequence the nurse should follow to remove the IV catheter.

Order the Items

Source Container

Apply pressure to the venipuncture site with sterile gauze.
Perform hand hygiene.
Clamp the IV tubing.
Withdraw the catheter from the client's vein.
Remove the dressing and tape from the venipuncture site.

Correct Answer: B,E,C,A,D

Rationale: The sequence is: hand hygiene, remove dressing/tape, clamp tubing, apply pressure, withdraw catheter-ensuring safety and preventing bleeding.

Question 3 of 5

A nurse is collecting data from a client about her current pain status. Which of the following questions should the nurse ask to determine the quality of the client's pain?

Correct Answer: D

Rationale: Asking 'What does your pain feel like?' assesses the quality (e.g., sharp, dull), a key component of pain assessment.

Question 4 of 5

A nurse is assisting with the transfer of a client from a medical-surgical unit to an intensive care unit following a change in status. Which of the following information should the nurse include in the transfer documentation?

Correct Answer: A,B,E

Rationale: Medications, primary problem, and dressing schedules are critical for continuity of care in the ICU; family visits and old vital signs are less relevant.

Question 5 of 5

A nurse is caring for a client who is postoperative. For which of the following findings should the nurse suspect the client is experiencing a deep-vein thrombosis?

Correct Answer: D

Rationale: Warmth is a classic sign of deep-vein thrombosis due to inflammation and blood flow changes in the affected area.

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