ATI LPN
ATI LPN Medical Surgical Exam Questions
Extract:
Question 1 of 5
A nurse is reinforcing teaching with a newly licensed nurse about causative risk factors for deep vein thrombosis (DVT). Which of the following should be included in the teaching? (Select All that Apply.)
Correct Answer: A,B,E
Rationale: Immobility, fractures, and estrogen therapy increase the risk of DVT by promoting blood stasis or clot formation. Atrial fibrillation is more associated with arterial clots, and anticoagulant therapy prevents DVT.
Question 2 of 5
A nurse is caring for client who is 5 days postoperative after abdominal surgery. The client reports a sudden pulling sensation and pain in his surgical incision. The nurse checks the client's surgical wound and finds an evisceration. Which of the following interventions is appropriate?
Correct Answer: C
Rationale: Saline-soaked dressings protect eviscerated organs from infection and drying while awaiting surgical intervention.
Question 3 of 5
A nurse is caring for several clients on a medical-surgical unit. Which of the following client care situations requires the nurse to complete an incident report?
Correct Answer: D
Rationale: Missing personal property, like dentures, requires an incident report to document and address the loss.
Question 4 of 5
A nurse is planning to monitor a client for dehydration following several episodes of vomiting and an increase in the client's temperature. Which of the following findings should the nurse identify as an indication that the client is dehydrated?
Correct Answer: C
Rationale: Elevated urine specific gravity indicates concentrated urine, a sign of dehydration.
Question 5 of 5
The nurse is caring for a client on the third day following abdominal surgery and assesses the absence of bowel sounds, abdominal distention, and the client passing no flatus. These findings indicate the client is experiencing which of the following postoperative complications?
Correct Answer: A
Rationale: Paralytic ileus causes absent bowel sounds, distention, and no flatus due to halted intestinal motility.