ATI LPN
ATI LPN Med Surg Exam 4 Questions
Extract:
Question 1 of 5
A nurse is reinforcing teaching with a client who has peripheral vascular disease (PVD). The nurse should recognize that which of the following statements by the client indicates a need for further teaching?
Correct Answer: B
Rationale: Wearing stockings with elastic tops can restrict blood flow and is not recommended for clients with PVD, indicating a need for further teaching.
Question 2 of 5
A nurse has received report on a client who has a basilar skull fracture. Which of the following findings should the nurse anticipate with this client?
Correct Answer: B,C
Rationale: Pooling of blood around the eyes ('raccoon eyes') and bruising over the mastoid process (Battle's sign) are classic signs of a basilar skull fracture.
Question 3 of 5
A nurse is assisting with the admission of a client who has a subarachnoid hemorrhage and increased intracranial pressure (ICP). Which of the following medications should the nurse anticipate the provider prescribing to decrease ICP?
Correct Answer: D
Rationale: Mannitol is an osmotic diuretic that helps decrease ICP by drawing fluid from brain tissue into the bloodstream, thus relieving pressure within the skull.
Question 4 of 5
A nurse is caring for a client who is scheduled for a Tensilon challenge test to check for myasthenia gravis. Which of the following findings should the nurse identify as a positive result?
Correct Answer: A
Rationale: A positive Tensilon test result is temporary improvement in muscle strength, confirming myasthenia gravis.
Question 5 of 5
A nurse is reinforcing teaching with a client who has peripheral vascular disease. Which of the following instructions should the nurse include in the teaching?
Correct Answer: B
Rationale: Incorporating walking into the daily routine helps improve circulation and manage peripheral vascular disease by promoting blood flow in the legs.