ATI LPN
ATI PN medical surgical exam 2023 Questions
Extract:
Question 1 of 5
A nurse is preparing to administer heparin 250 units/kg subcutaneously to a client who weighs 150 lb. The heparin is available in a prefilled syringe containing 10,000 units/mL. How many mL should the nurse administer?
Correct Answer: 1.7
Rationale: The client's weight is 150 lb, which is 68.18 kg (150 ÷ 2.2). Heparin dose = 250 units/kg × 68.18 kg = 17,045 units. Volume = 17,045 units ÷ 10,000 units/mL = 1.7045 mL, rounded to 1.7 mL.
Question 2 of 5
A nurse is collecting data from a client who underwent a thyroidectomy four hours ago. Which of the following client findings indicates a complication of the procedure?
Correct Answer: A
Rationale: Tingling of the fingers suggests hypocalcemia from parathyroid gland damage, a serious complication.
Question 3 of 5
A nurse in a long-term care facility is caring for a client who had abdominal surgery 6 weeks ago. Which of the following images indicates the client's wound is healing by primary intention?
Correct Answer: A
Rationale: Primary intention healing occurs when wound edges are well-approximated, leading to minimal scarring.
Question 4 of 5
A nurse is caring for a client who has an indwelling urinary catheter. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Securing the catheter to the thigh prevents pulling and reduces infection risk.
Question 5 of 5
A nurse is contributing to the plan of care for a client who has Alzheimer's disease. Which of the following interventions should the nurse include in the plan?
Correct Answer: A
Rationale: Limiting instructions to two steps accommodates the cognitive limitations of Alzheimer's, aiding comprehension.