ATI PN Adult Medical Surgical 2023

Extract:

Question 1 of 5

A nurse is prioritizing care for four clients following change-of-shift report. Which of the following clients should the nurse attend to first?

A. A client who has Alzheimer's disease and requires assistance to the bathroomB. A client who has diverticulitis and a temperature of $38.3^{\circ} \mathrm{C}\left(100.9^{\circ} \mathrm{F}\right)$C. A client who has a prescription for a sputum specimen to be obtained before breakfastD. A client who sustained a head injury 2 days ago and has a decreased level of consciousness

Correct Answer: D

Rationale: Decreased consciousness post-head injury indicates potential deterioration, requiring immediate assessment.

Question 2 of 5

A nurse is assisting with postoperative care of a client who had surgery for creation of a colostomy 24 hr ago. Which of the following findings should the nurse report to the provider?

A. The skin around the client's stoma is bulging.B. The client has had no fecal output from the stoma.C. The stoma protrudes 2 cm (0.8 in) above the client's abdominal wall.D. The client's stoma is moist and beefy red.

Correct Answer: B

Rationale: No fecal output within 24 hours post-colostomy may indicate an obstruction, requiring provider attention.

Question 3 of 5

A home health nurse is assisting in the care of a client following a modified radical mastectomy. Which of the following statements by the client indicates effective coping?

A. I would like to see what this looks like today.B. I'm going to close my eyes until you are done dressing my incision.C. I would just like to spend my day staring at the TV.D. I'm planning to stay at home until my breast reconstructive surgery.

Correct Answer: A

Rationale: Wanting to view the surgical site shows acceptance and proactive coping.

Question 4 of 5

A nurse is caring for a client who had a stroke and is experiencing dysphagia. Which of the following actions should the nurse take when assisting the client to eat?

A. Offer meals to the client following physical activity.B. Provide peanut butter on crackers as a snack choice.C. Provide liquids in a cup with a straw.D. Instruct the client to tilt his head forward when swallowing.

Correct Answer: D

Rationale: Tilting the head forward facilitates safe swallowing in clients with dysphagia.

Question 5 of 5

A nurse in a provider's office is talking with a client who takes oxybutynin. The client asks why he does not urinate as often. Which of the following information should the nurse include about the action of oxybutynin?

A. The medication reduces the rate at which the kidneys filter waste.B. The medication decreases the sensitivity of the urethral sphincter.C. The medication prevents the bladder muscles from involuntarily contracting.D. The medication blocks the nervous system impulse to produce urine.

Correct Answer: C

Rationale: Oxybutynin reduces involuntary bladder contractions, decreasing urination frequency.

ATI PN Adult Medical Surgical 2023 | Nurselytic

Nurselytic

ATI LPN

ATI LPN