Questions 164

ATI LPN

ATI LPN Test Bank

PN ADULT MEDICAL SURGICAL 2023 Questions

Extract:


Question 1 of 5

A nurse is providing first aid for a client who has a minor burn on one hand, which of the following actions should the nurse take? (Select all that apply.)

Correct Answer: A,C,D

Rationale: Maintaining blister integrity prevents infection (
A), ibuprofen relieves pain (
C), and cool water reduces heat and pain (
D). Ice can damage tissue, and open air may increase infection risk.

Extract:

Medication Administration Record
Ceftriaxone 2 gm IV BID
Acetaminophen 325 mg PO every 4 hr PRN fever over 39° C (102.2° F)
Guaifenesin 200 mg PO every 4 hr PRN cough

Diagnostic Results
Complete Blood Count:
Hemoglobin 15 g/dL (12 to 16 g/dL)
Hematocrit 45% (37% to 47%)
WBC count 15,000/mm* (5000 to 10,000/mm*)

Basic Metabolic Profile:
Creatinine 2.8 mg/dL (0.5 to 1.1 mg/di)
BUN 19 mg/dL (10 to 20 mg/dL)

Sputum Culture and Sensitivity:
Klebsiella pneumonia


Question 2 of 5

A nurse is reviewing the medical record of a client who has pneumonia. Which of the following information is the priority for the nurse report to the provider?

Correct Answer: B

Rationale: Elevated creatinine (2.8 mg/dL) indicates potential kidney injury, a priority over sputum (expected Klebsiella), WBC (infection), or temperature.

Extract:


Question 3 of 5

A nurse is collecting data from an older adult client who has cystitis. Which of the following findings should the nurse anticipate?

Correct Answer: A

Rationale: Confusion is common in older adults with cystitis due to altered mental status from infection.

Question 4 of 5

A nurse is assisting with the care of a postoperative client who is receiving a unit of packed RBCs. Which of the following manifestations should the nurse recognize as an indication of a septic reaction to the blood transfusion?

Correct Answer: C

Rationale: Vomiting is a sign of a septic reaction due to contaminated blood; distended veins suggest fluid overload, polyuria isn't typical, and hypertension isn't specific.

Question 5 of 5

A nurse is preparing to administer epoetin 50 units/kg via subcutaneous injection to a client who weighs 165 lb and has chronic kidney disease. How many units should the nurse administer?

Correct Answer: A

Rationale: 165 lb = 75 kg; 50 units/kg × 75 kg = 3750 units, correct for stimulating RBC production in CKD.

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