ATI LPN
ATI PN Adult Medical Surgical 2023 Questions
Extract:
Question 1 of 5
A nurse is reinforcing teaching with an assistive personnel (AP) about a client who has pertussis. Which of the following instructions should the nurse include in the teaching?
Correct Answer: D
Rationale: An N95 mask is required for droplet precautions in pertussis to prevent transmission.
Question 2 of 5
A nurse is collecting data from a client who has right-sided heart failure. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Lower-extremity edema is a hallmark of right-sided heart failure due to venous congestion.
Question 3 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.
Extract:
Nurses' Notes
Vital Signs
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.
Question 4 of 5
A nurse on a medical-surgical unit is assisting in the care of a male client. Which of the following findings indicate a need for follow-up by the nurse? Select all that apply.
Correct Answer: B,F,G
Rationale: Heart rate, blood pressure, and urinary output require follow-up to monitor for postoperative complications like hypovolemia.
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.