ATI LPN
ATI PN Adult Medical surgical 2023 IV Questions
Extract:
Question 1 of 5
A nurse is reinforcing discharge teaching for a client who had a cerebrovascular accident (CVA) and requires assistance to perform their activities of daily living (ADLs). Which of the following statements should the nurse provide?
Correct Answer: A
Rationale: Grab bars (
A) provide stability and support balance, which is essential for a CVA client with impaired mobility, making it the best discharge teaching option.
Question 2 of 5
A nurse working the night shift is caring for an older adult client who has dementia and is at risk for falls. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: A motion sensor mat (
C) alerts staff to movement, preventing falls safely without restraint, aligning with dementia care.
Question 3 of 5
A nurse is reinforcing teaching with a client who will undergo a colonoscopy the following week. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: Fasting except for water for 12 hours (
B) ensures a clear colon, essential for an effective colonoscopy.
Question 4 of 5
A nurse is obtaining a sterile urine specimen from a client who has an indwelling urinary catheter. Identify the sequence the nurse should follow. Use all the steps.
Correct Answer: A, B, C, D, E
Rationale: The document lists A, B, C, D, E: wiping the port (
A), documenting (
B), transferring urine (
C), aspirating (
D), and clamping (E), though clamping typically occurs first to collect urine.
Question 5 of 5
A nurse is reinforcing teaching with a client who is postoperative following a tympanoplasty. Which of the following information should the nurse include?
Correct Answer: D
Rationale: Closing the mouth when sneezing (
D) prevents pressure changes that could disrupt ear healing.