ATI LPN
PN ADULT MEDICAL SURGICAL 2023 Questions
Extract:
Question 1 of 5
A nurse is preparing to perform tracheostomy care for a client. In which order should the nurse take the following steps?
Order the Items
Source Container
Correct Answer: D,A,B,C,E
Rationale: The sequence is: Explain the procedure (
D) to inform the client, ensure communication (
A) during the process, remove the dressing with gloves (
B), clean the cannula (
C), and apply new ties (E). This order ensures safety and client comfort.
Question 2 of 5
A nurse administered a dose of penicillin to a client 30 min ago. The client reports she has hives and is itching. Which of the following statements by the nurse is the highest priority?
Correct Answer: C
Rationale: Asking about difficulty breathing is the priority as it assesses for anaphylaxis, a life-threatening allergic reaction to penicillin, requiring immediate intervention.
Question 3 of 5
A nurse is contributing to the plan of care for a client who has influenza. Which of the following interventions should the nurse include in the plan?
Correct Answer: A
Rationale: A surgical mask during transport prevents droplet spread of influenza. An N95 and negative airflow are for airborne diseases, and immunization isn't given during active infection.
Question 4 of 5
A nurse is assisting with the care of a client who is receiving peritoneal dialysis. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Weighing before and after tracks fluid removal in peritoneal dialysis, assessing treatment effectiveness. Dialysate is warmed, diarrhea isn't a primary concern, and sterile gloves are preferred.
Question 5 of 5
A nurse is assisting with the care of a client who has a seizure disorder. Which of the following supplies should the nurse have at the client's bedside at all times?
Correct Answer: A
Rationale: Suction equipment clears airways during a seizure, preventing aspiration.
Tongue blades are outdated, and restraints or backboards are not standard bedside items for seizure care.