ATI LPN
PN ATI Learning System Medical Surgical Final Quiz Questions
Extract:
Question 1 of 5
A nurse is contributing to the plan of care for a client who had a stroke. The client has hemiplegia and occasional urinary incontinence. Which of the following interventions should the nurse recommend?
Correct Answer: A
Rationale: Offering a bedpan every 2 hr prevents urinary retention and promotes bladder retraining.
Question 2 of 5
A nurse is collecting data from a client who has a fractured left femur and is in skeletal traction. Which of the following findings should the nurse identify as an indication of fat emboli to report to the provider?
Correct Answer: C
Rationale: Chest petechiae are a sign of fat emboli, a serious complication requiring immediate reporting.
Question 3 of 5
A nurse is assisting with the care of a client who is to receive a transfusion of packed red blood cells (RBCs). Which of the following actions should the nurse take?
Correct Answer: A,C,E
Rationale: Checking vital signs, verifying blood type with two nurses, and using filtered tubing ensure a safe transfusion.
Question 4 of 5
A nurse is caring for a client who is receiving continuous enteral feedings. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Monitoring blood glucose levels is essential as enteral feedings can affect glucose control.
Question 5 of 5
A nurse is preparing to change the bed linens of a client who has AIDS and is incontinent of stool. Which of the following personal protective equipment (PPE) should the nurse don prior to providing client care?
Correct Answer: A,B,C,E
Rationale: Wearing a gown, gloves, mask, and goggles protects against exposure to body fluids.