ATI LPN
ATI LPN Advanced Med Surg Exam I Questions
Extract:
Question 1 of 5
A nurse is preparing to begin a 24-hour urine collection for a client. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Discarding the first voiding when beginning a 24-hour urine collection is a crucial step in accurately measuring the components of urine over 24 hours. This step ensures that the test starts with an empty bladder and provides a precise beginning point. This action prevents the inclusion of residual urine from previous hours, which could affect the accuracy of the test results.
Question 2 of 5
The nurse is working in a college clinic when a student comes in and says, 'I think I have a migraine. My head hurts, I cannot stand the bright light, and I feel sick to my stomach.' What additional finding is most concerning?
Correct Answer: D
Rationale: A positive Brudzinski sign suggests meningitis, a medical emergency requiring urgent assessment.
Question 3 of 5
A nurse is caring for a client experiencing a tonic-clonic seizure. What is the nursing priority in caring for this client?
Correct Answer: D
Rationale: Preventing airway occlusion or aspiration is the priority during a tonic-clonic seizure.
Question 4 of 5
A nurse is preparing to administer 0.9% sodium chloride IV infusion 1000 mL bag at a rate of 200 mL/hr for a client who has renal calculi. The nurse should expect the IV pump to infuse over how many hours?
Correct Answer: 5
Rationale:
To calculate the infusion time, divide the total volume (1000 mL) by the rate (200 mL/hr): 1000 ÷ 200 = 5 hours.
Question 5 of 5
The LPN/LVN is assisting the RN in providing care for a patient with a risk for increased ICP. What finding needs to be reported to the RN?
Correct Answer: B
Rationale: Narrowing pulse pressure is a critical sign of increased intracranial pressure.