ATI LPN
ATI PN Adult Medical Surgical 2023 Questions
Extract:
Question 1 of 5
A nurse is reinforcing teaching with a client who will be wearing a Holter monitor for the next $24 \mathrm{~hr}$. Which of the following information should the nurse include?
Correct Answer: D
Rationale: Recording activities helps correlate symptoms with cardiac events on the Holter monitor.
Question 2 of 5
A nurse is caring for a client who has Parkinson's disease. The client displays difficulty using utensils while eating at mealtime. For which of the following interdisciplinary team members should the nurse recommend a referral?
Correct Answer: B
Rationale: An occupational therapist helps with adaptive techniques for daily activities like eating.
Question 3 of 5
A nurse is assisting with planning care for a client who was admitted for reports of severe coughing, night sweats, and blood in the sputum. Which of the following precautions should the nurse take?
Correct Answer: A
Rationale: A negative-pressure room is required for airborne precautions, as these symptoms suggest tuberculosis.
Question 4 of 5
A nurse is reinforcing teaching with a client about strategies to prevent hypertension. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: D
Rationale: Limiting sodium to 2,000 mg/day helps prevent hypertension by reducing fluid retention.
Extract:
Nurses' Notes
Vital Signs
Laboratory Results
Diagnostic Results
Intake and Output
Postoperative day 1, 0900:
Client admitted following surgical removal of an abdominal abscess. Client alert and oriented to person, place, and time. Lung sounds clear bilaterally. Skin warm and dry to touch. Capillary refill 2 seconds. Radial and pedal pulses 2+. Abdominal wound dressing dry and intact.
Postoperative day 1, 2345:
Client is anxious and restless. Reports pain in chest. Lung sounds clear bilaterally. Respirations are rapid and shallow. Skin cool and moist. Capillary refill 4 seconds. Radial and pedal pulses 1+. Abdominal wound dressing dry and intact.
Question 5 of 5
The nurse is continuing to assist in the care of the client. After reviewing the client's electronic medical record, which of the following actions should the nurse recommend to take? Select the 3 actions the nurse should recommend to take.
Correct Answer: A,E,F
Rationale: Frequent vital signs, additional IV access, and oxygen address deteriorating status and potential embolism.