ATI LPN
PN Adult Medical Surgical 2020 Questions
Extract:
Question 1 of 5
A nurse is preparing to perform a sterile dressing change for a client who has a stage III pressure ulcer. Which of the following actions should the nurse plan to take?
Correct Answer: B
Rationale: Pain medication reduces discomfort during a painful dressing change.
Question 2 of 5
A nurse is reviewing the results of a client's fecal occult blood screening test. Which of the following findings from the client's history should the nurse identify as potentially causing a false-positive result?
Correct Answer: A
Rationale: Ibuprofen can irritate the gastrointestinal mucosa, causing minor bleeding that may lead to a false-positive result.
Question 3 of 5
A nurse is reinforcing teaching with a client who has a new prescription for digoxin. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: B
Rationale: Monitoring potassium levels prevents digoxin toxicity, which is exacerbated by hypokalemia.
Question 4 of 5
A nurse is caring for a client who is 3 days postoperative following an ileostomy placement. Which of the following findings should the nurse report to the provider?
Correct Answer: D
Rationale: Stoma retraction suggests complications like ischemia or obstruction.
Question 5 of 5
A nurse is assisting with the care of a client who is receiving penicillin via intermittent IV bolus. Which of the following should the nurse recognize as a clinical manifestation of anaphylaxis?
Correct Answer: D
Rationale: Pruritus is a common sign of anaphylaxis, often with hives or rash.