ATI LPN
ATI LPN Med Surg Exam 7 Questions
Extract:
Question 1 of 5
A nurse is monitoring a client following a hemodialysis treatment through an arteriovenous (AV) fistula. Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: Headache and restlessness may indicate dialysis-related complications like disequilibrium syndrome, requiring provider evaluation.
Question 2 of 5
A nurse is reinforcing discharge instructions with a client who has hepatitis A. Which of the following statements by the client indicates understanding of the teaching?
Correct Answer: B
Rationale: Abstaining from sexual intercourse prevents hepatitis A transmission, a critical measure to avoid spreading the virus through close contact.
Question 3 of 5
A nurse is monitoring a client who has just had a thoracentesis to remove pleural fluid. Which of the following clinical manifestations should indicate to the nurse the client is experiencing a complication and the provider should be notified immediately?
Correct Answer: C
Rationale: Increased heart rate may signal respiratory distress or hypovolemia post-thoracentesis, requiring immediate provider notification.
Question 4 of 5
A client with end stage liver disease, cirrhosis, and ascites is scheduled for a paracentesis. Which of the following interventions can be anticipated related to care of this patient?
Correct Answer: A
Rationale: Voiding before paracentesis reduces bladder puncture risk. Malignant hyperthermia, prone positioning, and prophylactic antibiotics are not standard for this procedure.
Question 5 of 5
A nurse is contributing to the plan of care for a client who has a spinal cord injury and paralysis. Which of the following actions should the nurse include in the plan to decrease the client's risk of skin breakdown?
Correct Answer: C,E
Rationale: Using pillows to elevate heels and minimizing moisture exposure prevent pressure ulcers and skin maceration, key risks in paralyzed clients.