ATI LPN
ATI PN Adult Medical surgical 2023 IV 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. Use all the steps.
Correct Answer: A, B, C, D, E
Rationale: The document lists A, B, C, D, E: wiping the port (
A), documenting (
B), transferring urine (
C), aspirating (
D), and clamping (E), though clamping typically occurs first to collect urine.
Question 2 of 5
A nurse is collecting admission history data from a client who is in a semi-private room. Which of the following data is the priority for the nurse to address?
Correct Answer: C
Rationale: Recent TB exposure (
C) is the priority due to its infectious potential, requiring immediate isolation consideration.
Question 3 of 5
A nurse is reinforcing teaching about high-potassium foods with a client. Which of the following foods should the nurse recommend?
Correct Answer: D
Rationale: A medium potato (
D) has significantly higher potassium (about 900 mg) compared to cabbage, apple, or watermelon, making it the correct choice for high-potassium teaching.
Question 4 of 5
A nurse administered a dose of penicillin to a client 30 minutes ago. The client reports she has hives and is itching. Which of the following statements by the nurse is the highest priority?
Correct Answer: C
Rationale: Asking about breathing difficulty (
C) is the priority to assess for anaphylaxis, a life-threatening reaction.
Question 5 of 5
A nurse is assisting with the care of a client who has a closed-chest tube drainage system. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Replacing a full drainage unit (
B) ensures the chest tube system functions properly, preventing complications.