ATI LPN
ATI LPN Adult Medical Surgical 2023 II Questions
Extract:
Question 1 of 5
A nurse on the oncology unit is evaluating a client's response after receiving a dose of aprepitant. Which of the following therapeutic effects should the nurse expect?
Correct Answer: D
Rationale: Aprepitant is an antiemetic used to prevent nausea and vomiting, so the expected therapeutic effect is the absence of nausea.
Extract:
Nurse’s Notes
History and Physical
Vital Signs
Diagnostic Results
The client denies pain or discomfort but reports difficulty concentrating. Bilateral breath sounds are clear. Mucous membranes appear pale, and the apical pulse is rapid but regular.
Question 2 of 5
A nurse is assisting in the care of a 62-year-old female client in a provider's office who has iron deficiency anemia. Which of the following instructions should the nurse include when educating the client about iron supplementation? (Select all that apply.)
Correct Answer: A,B,C
Rationale: Empty stomach aids absorption, fiber prevents constipation, and vitamin C enhances iron uptake.
Extract:
Question 3 of 5
A nurse enters a client's room and sees smoke coming from the bathroom. Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: Activating the fire alarm first ensures rapid response and safety per the RACE protocol (Rescue, Alarm, Contain, Extinguish).
Question 4 of 5
A nurse is assisting with the care of a client who is receiving penicillin via intermittent IV bolus. Which of the following should the nurse recognize as a clinical manifestation of anaphylaxis?
Correct Answer: D
Rationale: Pruritus (itching) is a common early sign of anaphylaxis, a severe allergic reaction to penicillin.
Extract:
Vital Signs
Diagnostic Results
Pain Rating
Nurse’s Notes
Allergy History
• Blood pressure: 142/84 mm Hg
• Temperature: 38.5°C (101.3°F)
• Respiratory rate: 24/min
• Heart rate: 99/min
• SpO₂: 96% on room air
Question 5 of 5
A nurse is caring for a 45-year-old male client in a medical-surgical unit who has a new prescription for cefazolin. Which of the following findings should the nurse identify as contraindications to administering cefazolin? (Select all that apply.)
Correct Answer: A,C
Rationale: Penicillin allergy risks cross-reactivity with cefazolin; furosemide with cefazolin can enhance nephrotoxicity.