ATI LPN
ATI PN Adult Medical surgical 2023 IV 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? Use all the steps.
Correct Answer: A, B, C, D, E
Rationale: The document specifies A, B, C, D, E as the order: starting with communication (
A), followed by cleaning the cannula (
B), removing the dressing with gloves (
C), applying new ties (
D), and explaining last (E), though clinically, explanation often precedes all steps.
Question 2 of 5
A nurse is caring for a client who is postoperative following a right radical mastectomy. Which of the following actions should the nurse take to prevent the development of lymphedema?
Correct Answer: A
Rationale: Using the left arm (
A) avoids trauma to the right side, reducing lymphedema risk post-mastectomy.
Question 3 of 5
A nurse is collecting data from a client who has Cushing's syndrome. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Easy bruising (
B) is expected in Cushing's syndrome due to fragile skin from excess cortisol.
Question 4 of 5
A nurse is caring for a client who has a distal radius fracture with a short arm cast applied. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Neurovascular checks (
D) every 2 hours monitor circulation and nerve function post-cast.
Question 5 of 5
A nurse is assisting with the care of a postoperative client who has developed malignant hyperthermia. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Applying a cooling blanket (
A) is the correct action to reduce the dangerously elevated temperature in malignant hyperthermia.