ATI LPN
PN ATI Learning System Medical Surgical Final Quiz Questions
Extract:
Question 1 of 5
A nurse is preparing to care for a group of clients after receiving change-of-shift report. From which of the following clients should the nurse collect data first?
Correct Answer: C
Rationale: Dyspnea in emphysema indicates respiratory distress, requiring immediate assessment.
Question 2 of 5
A nurse is contributing to the plan of care for a client who is 72 hr postoperative following an above-the-knee amputation. Which of the following actions should the nurse recommend?
Correct Answer: B
Rationale: Assisting the client to a prone position every 4 hr can prevent hip flexion contractures and promote the range of motion of the hip joint.
Question 3 of 5
A nurse is assisting with the care of a client who has a chest tube in place following a thoracotomy. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Placing the drainage unit below the client's chest level can facilitate the drainage of air and fluid from the pleural space by gravity.
Question 4 of 5
A nurse is reviewing a client's laboratory report. The client's ABG levels are pH 7.5, PaCO2 32 mm Hg, and HCO3 24 mEq/L. The nurse should determine that the client has which of the following acid-base imbalances?
Correct Answer: A
Rationale: Respiratory alkalosis occurs when the blood pH is high, the PaCO2 is low, and the HCO3 is normal or low, typically due to hyperventilation.
Question 5 of 5
A nurse is reinforcing teaching with a client who has tuberculosis and a prescription for rifampin. The nurse should identify which of the following findings as a harmless and expected adverse effect of rifampin?
Correct Answer: A
Rationale: Red-orange discoloration of urine is a harmless, expected side effect of rifampin.