ATI LPN
ATI PN Adult Medical Surgical 2023 Questions
Extract:
Medical History.
Vital Signs
Nurses' Notes
Cerebrovascular accident 2 years ago Coronary artery disease
Hypertension
Question 1 of 5
A nurse is reviewing the client's medical record. After reviewing the medical record, which of the following actions should the nurse plan to take? For each potential provider's prescription, click to specify if the potential prescription is anticipated, nonessential, or contraindicated for the client.
| Options | Anticipated | Non-essential | Contraindicated |
|---|---|---|---|
| Assist the client to the bathroom. | |||
| Initiate seizure precautions. | |||
| Record GCS every $15 \mathrm{~min}$ for the first $4 \mathrm{hr}$. | |||
| Elevate the head of the bed | |||
| Keep the client's head in midline position | |||
| Encourage the client to cough | |||
| Decrease oxygen to $1.5 \mathrm{~L} / \mathrm{min}$ via nasal cannula |
Correct Answer: A: Anticipated, B: Non-essential, C: Non-essential, D: Anticipated, E: Anticipated, F: Non-essential, G: Contraindicated
Rationale: A, D, E are anticipated to support mobility, reduce ICP, and maintain alignment post-CVA; G is contraindicated without specific oxygen needs assessed.
Extract:
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 postoperative care of a client who had surgery for creation of a colostomy 24 hr ago. Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: No fecal output within 24 hours post-colostomy may indicate an obstruction, requiring provider attention.
Question 4 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 5 of 5
A nurse is reinforcing discharge instructions with a client who is taking oral iron supplementation for anemia. Which of the following statements by the client demonstrates an understanding of the teaching?
Correct Answer: B
Rationale: Increased fiber prevents constipation, a common side effect of iron supplementation.