ATI LPN
ATI LPN Adult Medical Surgical 2023 II Questions
Extract:
Question 1 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.
Question 2 of 5
A nurse is caring for a client who has a distal radius fracture with a short arm cast applied. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Frequent neurovascular checks detect complications like compartment syndrome early in a casted extremity.
Question 3 of 5
A nurse is caring for a client who has a peripheral IV infusion and notes that the client's arm is edematous, cool, and tender at the catheter insertion site. Which of the following complications of IV therapy should the nurse suspect?
Correct Answer: A
Rationale: Edema, coolness, and tenderness suggest infiltration, where IV fluid leaks into surrounding tissue.
Question 4 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: D
Rationale: Checking for ecchymosis monitors for bleeding, a key concern in thrombocytopenia due to low platelets.
Question 5 of 5
A nurse is reinforcing teaching about environmental modifications in the home with a family member of a client who has Alzheimer's disease. Which of the following information should the nurse include in the teaching?
Correct Answer: C
Rationale: High locks prevent wandering, a common safety issue in Alzheimer's, enhancing home safety.