ATI LPN
ATI LPN Comprehensive Predictor 2023 Retake Questions
Extract:
Question 1 of 5
A nurse is reinforcing teaching with a client who is scheduled for a cystoscopy. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: B
Rationale: Pink-tinged urine is expected after a cystoscopy due to minor irritation of the bladder lining.
Question 2 of 5
A nurse is caring for a client who is receiving IV vancomycin. Which of the following findings should the nurse report to the provider?
Correct Answer: A
Rationale: Redness at the IV site may indicate phlebitis or infiltration, requiring immediate reporting to prevent complications.
Question 3 of 5
A nurse overhears two assistive personnel discussing a client's medical history in the hallway. Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: Telling the staff members to stop their discussion is correct. The nurse should immediately address the situation by asking the APs to stop discussing the client's medical history in the hallway to protect client confidentiality. This is the most immediate and effective action in ensuring the client's privacy is respected.
Question 4 of 5
A nurse is caring for a client who is postoperative following abdominal surgery and has a wound evisceration. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Covering the wound with sterile, saline-soaked gauze is correct. Evisceration occurs when abdominal contents protrude through a surgical wound.
To prevent drying and further tissue damage, the nurse should immediately cover the exposed organs with sterile gauze moistened with saline to maintain moisture and reduce infection risk.
Question 5 of 5
A nurse is reinforcing teaching with a client who has a new prescription for a nicotine patch. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: Removing the patch at night reduces the risk of nicotine overdose and minimizes side effects like insomnia.