ATI LPN
PN ADULT MEDICAL SURGICAL 2023 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: 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 5
A nurse is reviewing the laboratory data of a client who is scheduled for a liver biopsy. Which of the following values should the nurse report to the provider?
Correct Answer: D
Rationale: Liver biopsy risks bleeding due to vascularity, so platelets at 60,000/mm³ well below normal (150,000-400,000) signal thrombocytopenia, increasing hemorrhage risk. Normal bilirubin (1.0 mg/dL) and AST (34 units/L) reflect liver function, not clotting. Ammonia (55 mcg/dL) is normal, tied to encephalopathy, not biopsy safety. Low platelets impair hemostasis, often requiring transfusion or delay per procedural norms (e.g., AASL
D), prioritizing safety unlike normal labs, this demands provider action, making it the critical value to report.
Question 3 of 5
A nurse is assisting in the plan of care for a client who has thrombocytopenia. Which of the following actions should the nurse include in the plan?
Correct Answer: A
Rationale: Checking for ecchymosis (bruising) monitors for bleeding, a risk in thrombocytopenia due to low platelets. Isolation isn't needed, ibuprofen increases bleeding risk, and razors should be avoided.
Question 4 of 5
A nurse is caring for a client who has a distal radius fracture with a short arm cast applied. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Neurovascular checks every 2 hours assess circulation and nerve function, critical after cast application. Hot air can burn, elevation reduces swelling, and finger immobilization isn't standard unless specified.
Question 5 of 5
A nurse is collecting data from a client who had a long arm cast applied 2 hr. ago. Which of the following findings of the affected extremity should the nurse report to the provider immediately?
Correct Answer: A
Rationale: Cool fingers suggest impaired circulation, a potential emergency post-cast application requiring immediate reporting. Itching and pain are common, and 3-second refill is borderline normal.