ATI LPN
PN ADULT MEDICAL SURGICAL 2023 Questions
Extract:
Question 1 of 4
A nurse is obtaining a sterile urine specimen from a client who has an indwelling urinary catheter. Identify the sequence the nurse should follow.
Order the Items
Source Container
Correct Answer: B,A,C,E,D
Rationale: Sequence: Clamp tubing (
B) to collect urine, wipe port (
A), aspirate with syringe (
C), transfer to container (E), and document (
D) for a sterile specimen.
Question 2 of 4
A nurse is obtaining a sterile urine specimen from a client who has an indwelling urinary catheter. Identify the sequence the nurse should follow.
Order the Items
Source Container
Correct Answer: E,D,C,A,B
Rationale: Order: Clamp (E), wipe port (
D), aspirate (
C), transfer (
A), document (
B) ensures sterility and proper procedure.
Question 3 of 4
A nurse is caring for a client who is postoperative following the placement of a colostomy. Which of the following findings indicates the colostomy is functioning properly?
Correct Answer: A
Rationale: Passing flatus indicates the colostomy is functioning by expelling gas, a normal postoperative sign. Pink stoma and diet tolerance are positive but not definitive, and absent sounds suggest ileus.
Question 4 of 4
A nurse is caring for a client who is receiving intermittent bolus enteral feedings through a jejunostomy tube. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Elevating the head for 1 hour prevents aspiration, essential for jejunostomy feeding safety. Cold solutions, rotation, and large flushes are not recommended.
Question 5 of 4
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 3500 calories. The nurse should instruct the client to reduce his daily caloric intake by how many calories?
Correct Answer: 1000
Rationale: Calculation: 2 lb × 3,500 cal/lb = 7,000 cal/week; 7,000 ÷ 7 = 1,000 cal/day reduction achieves the weight loss goal.