ATI LPN
ATI PN medical surgical exam 2023 Questions
Extract:
Question 1 of 5
A nurse is contributing to the plan of care for a client who has hypernatremia. Which of the following interventions should the nurse recommend to include in the plan?
Correct Answer: B
Rationale: Restricting sodium intake helps correct hypernatremia by reducing serum sodium levels.
Question 2 of 5
A nurse is caring for a client who recently experienced a left-hemisphere stroke. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: A left-hemisphere stroke often causes aphasia due to damage to language centers.
Question 3 of 5
A nurse is monitoring a client who is receiving a transfusion of packed RBCs. Which of the following findings should the nurse identify as an indication that the client should receive diphenhydramine?
Correct Answer: C
Rationale: Urticaria (hives) is an allergic reaction that can occur during a blood transfusion, and diphenhydramine is an antihistamine used to treat such reactions.
Question 4 of 5
A nurse is preparing to administer heparin 250 units/kg subcutaneously to a client who weighs 150 lb. The heparin is available in a prefilled syringe containing 10,000 units/mL. How many mL should the nurse administer?
Correct Answer: 1.7
Rationale: The client's weight is 150 lb, which is 68.18 kg (150 ÷ 2.2). Heparin dose = 250 units/kg × 68.18 kg = 17,045 units. Volume = 17,045 units ÷ 10,000 units/mL = 1.7045 mL, rounded to 1.7 mL.
Question 5 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: C
Rationale: Asking 'What does your pain feel like?' directly assesses the quality (e.g., sharp, dull) of the pain, which is essential for a comprehensive pain assessment.