ATI LPN
ATI PN Adult Medical Surgical 2023 Questions
Extract:
Question 1 of 5
A nurse is reinforcing discharge instructions with a client who is taking oral iron supplementation for anemia. Which of the following statements by the client demonstrates an understanding of the teaching?
Correct Answer: B
Rationale: Increased fiber prevents constipation, a common side effect of iron supplementation.
Question 2 of 5
A nurse is assisting in the care of a client whose cardiac monitor suddenly displays ventricular tachycardia. Which of the following is the priority nursing action?
Correct Answer: C
Rationale: Checking for a pulse determines if the rhythm is perfusing, guiding further action.
Extract:
Medical History.
Vital Signs
Nurses' Notes
Cerebrovascular accident 2 years ago Coronary artery disease
Hypertension
Question 3 of 5
A nurse is reviewing the client's medical record. After reviewing the medical record, which of the following actions should the nurse plan to take? For each potential provider's prescription, click to specify if the potential prescription is anticipated, nonessential, or contraindicated for the client.
| Options | Anticipated | Non-essential | Contraindicated |
|---|---|---|---|
| Assist the client to the bathroom. | |||
| Initiate seizure precautions. | |||
| Record GCS every $15 \mathrm{~min}$ for the first $4 \mathrm{hr}$. | |||
| Elevate the head of the bed | |||
| Keep the client's head in midline position | |||
| Encourage the client to cough | |||
| Decrease oxygen to $1.5 \mathrm{~L} / \mathrm{min}$ via nasal cannula |
Correct Answer: A: Anticipated, B: Non-essential, C: Non-essential, D: Anticipated, E: Anticipated, F: Non-essential, G: Contraindicated
Rationale: A, D, E are anticipated to support mobility, reduce ICP, and maintain alignment post-CVA; G is contraindicated without specific oxygen needs assessed.
Extract:
Nurses' Notes
Vital Signs
Intake and Output
Postoperative day 1, 0900:
Client admitted following surgical removal of an abdominal
abscess. Client alert and oriented to person, place, and
time. Lung sounds clear bilaterally. Skin warm and dry to
touch. Capillary refill 2 seconds. Radial and pedal pulses
2+. Abdominal wound dressing dry and intact.
Question 4 of 5
A nurse on a medical-surgical unit is assisting in the care of a male client. Which of the following findings indicate a need for follow-up by the nurse? Select all that apply.
Correct Answer: B,F,G
Rationale: Heart rate, blood pressure, and urinary output require follow-up to monitor for postoperative complications like hypovolemia.
Extract:
Nurses' Notes
Vital Signs
Diagnostic Results
Intake and Output
Postoperative day 1, 0900:
Client admitted following surgical removal of an abdominal abscess. Client alert and oriented to person, place, and time. Lung sounds clear bilaterally. Skin warm and dry to touch. Capillary refill 2 seconds. Radial and pedal pulses 2+. Abdominal wound dressing dry and intact.
Question 5 of 5
The nurse is continuing to assist in the care of the client. For each data collection finding, click to specify if the finding on postoperative day 1 is consistent with hypovolemic shock or pulmonary embolism. Each finding may support more than 1 disease process or none at all.
| Options | Hypovolemic Shock | Pulmonary Embolism |
|---|---|---|
| Heart rate | ||
| Respiratory effort | ||
| Pain | ||
| Blood pressure | ||
| Mentation |
Correct Answer:
Rationale: At 0900, findings are normal, not indicating hypovolemic shock or pulmonary embolism.