ATI LPN
ATI LPN Med Surg Midterm Questions
Extract:
Question 1 of 5
A nurse is giving change-of-shift report using the SBAR technique about a client who has a traumatic brain injury. When reporting information about the client, which of the following should the nurse include in the situation segment of SBAR?
Correct Answer: D
Rationale: The situation segment includes the history of the injury, providing context for the client's current condition.
Question 2 of 5
A nurse on a medical-surgical unit is caring for a group of children. Which of the following findings should alert the nurse that one of the children is a potential victim of abuse?
Correct Answer: A
Rationale: An adolescent wanting to stay in the hospital may indicate an unsafe home environment, suggesting possible abuse. Bruises on a toddler's shins, crying during injections, and obesity are not typically abuse indicators.
Question 3 of 5
A nurse is assisting with the admission of a client to an acute mental health unit following a suicide attempt. The client has a history of depression, substance abuse, and anorexia nervosa. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: Initiating one-to-one observation ensures immediate safety after a suicide attempt, the highest priority.
Question 4 of 5
A nurse is assisting with the care of a client who is postoperative following a cholecystectomy. Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: Incision site drainage may indicate infection or other complications and should be reported. Other findings are normal.
Question 5 of 5
A nurse is assisting with teaching a client who has hypertension and a new prescription for a low sodium diet. Which of the following educational methods uses the cognitive domain of learning? (Select All that Apply)
Correct Answer: A,D
Rationale: Reviewing strategies (
A) and discussing physiology (
D) engage the cognitive domain by focusing on knowledge and understanding.