ATI LPN
ATI LPN Adult Medical Surgical 2023 II 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: D
Rationale: Offering pain medication beforehand reduces discomfort during the dressing change, improving client tolerance.
Question 2 of 5
A nurse is contributing to the plan of care for a client who is starting bowel training for the management of fecal incontinence. Which of the following interventions should the nurse recommend?
Correct Answer: B
Rationale: Post-meal restroom visits leverage the gastrocolic reflex to promote regular bowel movements.
Question 3 of 5
A nurse is reinforcing teaching with a client who wants to lose 0.9 kg (2 lb) of body fat per week. The nurse knows that 0.45 kg (1 lb) of body fat is equal to 3,500 calories. The nurse should instruct the client to reduce his daily caloric intake by how many calories? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: A
Rationale:
To lose 2 lb per week and knowing 1 lb equals 3,500 calories, the client needs a deficit of 2 × 3,500 = 7,000 calories per week. Divided by 7 days, this is approximately 1,000 calories per day.
Question 4 of 5
A nurse is caring for a client who has dysphagia following a stroke. The nurse should recommend a referral to which of the following members of the interdisciplinary team?
Correct Answer: D
Rationale: A speech therapist specializes in swallowing therapy, essential for managing dysphagia post-stroke.
Question 5 of 5
A nurse is reinforcing discharge teaching with a client who has a new permanent pacemaker. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: C
Rationale: Using the opposite ear for cell phones minimizes interference with the pacemaker, showing understanding.