ATI LPN
ATI LPN Adult Medical Surgical 2023 II Questions
Extract:
Question 1 of 5
A nurse is obtaining a sterile urine specimen from a client who has an indwelling urinary catheter. Identify the sequence the nurse should follow.
Correct Answer: E,B,D,C,A
Rationale: The correct sequence ensures sterility and accuracy: clamp to collect urine, clean the port, aspirate, transfer, and document.
Question 2 of 5
A nurse is reinforcing teaching with a client who wants to lose 0.9 kg (2 lb) of body fat per week. The nurse knows that 0.45 kg (1 lb) of body fat is equal to 3,500 calories. The nurse should instruct the client to reduce his daily caloric intake by how many calories? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: A
Rationale:
To lose 2 lb per week and knowing 1 lb equals 3,500 calories, the client needs a deficit of 2 × 3,500 = 7,000 calories per week. Divided by 7 days, this is approximately 1,000 calories per day.
Question 3 of 5
A nurse is initiating the use of a continuous passive motion (CPM) device for a client following a total knee arthroplasty. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Proper alignment of the client's joints with the CPM frame ensures effective and safe motion therapy post-surgery.
Question 4 of 5
A nurse is contributing to the plan of care for a client who is starting bowel training for the management of fecal incontinence. Which of the following interventions should the nurse recommend?
Correct Answer: B
Rationale: Post-meal restroom visits leverage the gastrocolic reflex to promote regular bowel movements.
Question 5 of 5
A nurse is preparing to perform tracheostomy care for a client. In which order should the nurse take the following steps?
Correct Answer: C,B,D,A
Rationale: Ensuring communication first maintains client comfort, followed by dressing removal, cleaning, and applying new ties.