ATI LPN
ATI PN Adult Medical surgical 2023 IV Questions
Extract:
Question 1 of 5
A nurse is reinforcing teaching with a client about breast self-examinations. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: A
Rationale: Recognizing that one breast may be larger (
A) shows understanding of normal anatomy, a key teaching point.
Question 2 of 5
A nurse is assisting in the plan of care for a client who has thrombocytopenia. Which of the following actions should the nurse include in the plan?
Correct Answer: A
Rationale: Checking for ecchymosis (
A) is appropriate for thrombocytopenia to monitor for bruising due to low platelets, unlike the other options which increase bleeding or infection risk.
Question 3 of 5
A nurse is preparing to perform a sterile dressing change for a client who has a stage III pressure ulcer. Which of the following actions should the nurse plan to take?
Correct Answer: B
Rationale: Offering pain medication (
B) is correct as it addresses discomfort from a stage III pressure ulcer dressing change, prioritizing client comfort.
Question 4 of 5
A nurse is assisting with the care of a client who is receiving penicillin via intermittent IV bolus. Which of the following should the nurse recognize as a clinical manifestation of anaphylaxis?
Correct Answer: D
Rationale: Pruritus (
D) is a common early sign of anaphylaxis, an allergic reaction to penicillin.
Question 5 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.