ATI LPN
PN Adult Medical Surgical 2020 Questions
Extract:
Question 1 of 5
A nurse is preparing to assist with serving a meal to a client who has vision loss. When delivering the meal tray, which of the following actions should the nurse take?
Correct Answer: B
Rationale: Describing food placement like a clock helps orient the client, promoting independence.
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: Low platelet count (thrombocytopenia) increases bleeding risk during a liver biopsy, requiring provider notification.
Question 3 of 5
A nurse is caring for a client who is receiving a unit of packed RBCs. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Monitoring vital signs hourly detects early signs of transfusion reactions.
Question 4 of 5
A nurse is assisting with the care of a client who is receiving a blood transfusion. The client reports chills, back pain, and itching. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: Stopping the transfusion is the priority to halt a possible transfusion reaction.
Question 5 of 5
A nurse is caring for a client who is postoperative following the placement of a colostomy. Which of the following findings indicates that the colostomy is functioning properly?
Correct Answer: B
Rationale: A pinkish-red stoma indicates healthy perfusion and proper colostomy function.