ATI LPN
ATI PN Adult Medical Surgical 2023 Questions
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 1 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:
Question 2 of 5
A nurse is reinforcing teaching with a client who has COPD and reports shortness of breath and little appetite. Which of the following instructions should the nurse include in the teaching?
Correct Answer: B
Rationale: Limiting fluid intake during meals reduces stomach distension, easing breathing in COPD clients.
Question 3 of 5
A nurse is reinforcing teaching with an older adult client about preventing osteoporosis. Which of the following recommendations should the nurse make?
Correct Answer: A
Rationale: Vitamin D supplements enhance calcium absorption, strengthening bones to prevent osteoporosis.
Question 4 of 5
A nurse is caring for a client who had a stroke and is experiencing dysphagia. Which of the following actions should the nurse take when assisting the client to eat?
Correct Answer: D
Rationale: Tilting the head forward facilitates safe swallowing in clients with dysphagia.
Question 5 of 5
A nurse is caring for a client who is postoperative following a total knee arthroplasty and using a continuous passive motion (CPM) device. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Proper alignment of the knee with the CPM frame joint ensures effective therapy.