ATI LPN
PN Adult Medical Surgical 2020 Questions
Extract:
Question 1 of 5
A nurse is preparing to administer heparin 15,000 units every 12 hr subcutaneously to a client who weighs 80 kg. Available is 10,000 units/mL. How many mL should the nurse administer with each dose?
Correct Answer: 1.5 mL
Rationale: Calculation: (15,000 units / 10,000 units/mL) = 1.5 mL per dose.
Question 2 of 5
A nurse is preparing to administer ceftriaxone using the Z-track technique to a client who has gonorrhea. After the nurse performs hand hygiene and reconstitutes the medication, identify the sequence the nurse should use to administer the medication.
Order the Items
Source Container
Correct Answer: D,B,E,A,C
Rationale: The Z-track sequence ensures safe administration: cleanse, pull skin, insert needle, aspirate/inject, remove needle/release skin.
Question 3 of 5
A nurse is caring for a client who is postoperative following a right radical mastectomy. Which of the following actions should the nurse take to prevent the development of lymphedema?
Correct Answer: B
Rationale: Using the client's left arm for blood samples avoids procedures on the surgical side, reducing the risk of lymphedema by preventing additional stress on the lymphatic system.
Question 4 of 5
A nurse is reinforcing teaching with a client who has diabetes mellitus about reducing the risk for a stroke. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: D
Rationale: Losing excess weight reduces stroke risk by lowering blood pressure, improving glycemic control, and decreasing inflammation.
Question 5 of 5
A nurse is collecting data on an older adult client. Which of the following findings should indicate to the nurse that the client has a bladder infection?
Correct Answer: A
Rationale: Changed mental status is a common sign of bladder infection in older adults, who may not present with typical urinary symptoms.