ATI LPN
ATI LPN Adult Medical Surgical 2023 II Questions
Extract:
Question 1 of 5
A nurse is reinforcing teaching with a client who is taking enoxaparin. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: A
Rationale: Using an electric razor minimizes bleeding risk, a key precaution for clients on enoxaparin, an anticoagulant.
Question 2 of 5
A nurse is reinforcing teaching with a client who has a prescription for sublingual nitroglycerin for unstable angina. Which of the following instructions should the nurse include in the instructions?
Correct Answer: A
Rationale: Taking a second dose after 5 minutes for persistent pain is the standard protocol for nitroglycerin use.
Question 3 of 5
A nurse is caring for a client who was admitted with type 2 diabetes mellitus. Which of the following findings indicates hyperglycemia?
Correct Answer: A
Rationale: Kussmaul respirations indicate metabolic acidosis, a complication of hyperglycemia in diabetes.
Question 4 of 5
A nurse is caring for four clients. Which of the following clients should the nurse identify as at risk for inner ear inflammation?
Correct Answer: B
Rationale: Viral respiratory infections can spread to the inner ear, increasing the risk of inflammation like otitis media.
Question 5 of 5
A nurse is reinforcing teaching with a client who has a new ileostomy. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: C
Rationale: Cutting the wafer 1/4 inch larger than the stoma ensures a proper fit without irritating the skin, showing understanding.