ATI LPN
ATI PN Adult Medical surgical 2023 IV 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: Using a skin sealant (
C) protects peristomal skin, indicating proper ileostomy care understanding.
Question 2 of 5
A nurse administered a dose of penicillin to a client 30 minutes ago. The client reports she has hives and is itching. Which of the following statements by the nurse is the highest priority?
Correct Answer: C
Rationale: Asking about breathing difficulty (
C) is the priority to assess for anaphylaxis, a life-threatening reaction.
Question 3 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?
Correct Answer: D
Rationale: Taking a second tablet after 5 minutes (
D) is correct if pain persists, per nitroglycerin protocol.
Question 4 of 5
A nurse in an assisted living facility is collecting data from an older adult client who fell in their room and hit their head on the dresser. Which of the following findings is the nurse's priority?
Correct Answer: B
Rationale: Inability to stay awake (
B) is the priority as it suggests a serious head injury or concussion requiring immediate attention.
Question 5 of 5
A nurse is obtaining a sterile urine specimen from a client who has an indwelling urinary catheter. Identify the sequence the nurse should follow. Use all the steps.
Correct Answer: A, B, C, D, E
Rationale: The document lists A, B, C, D, E: wiping the port (
A), documenting (
B), transferring urine (
C), aspirating (
D), and clamping (E), though clamping typically occurs first to collect urine.