ATI LPN
PN ADULT MEDICAL SURGICAL 2023 Questions
Extract:
Question 1 of 5
A nurse working the night shift is caring for an older adult client who has dementia and is at risk for falls. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: A motion sensor mat alerts staff to movement, reducing fall risk in dementia clients. TV can agitate, four rails are a restraint, and moving the table doesn't directly prevent falls.
Question 2 of 5
A nurse is caring for a client who has a sulfa allergy. Which of the following prescriptions should the nurse clarify with the provider?
Correct Answer: C
Rationale: Celecoxib, an NSAID, is a sulfa drug and contraindicated in sulfa allergies due to risk of allergic reaction. The other medications do not contain sulfa and are safe in this context.
Question 3 of 5
A nurse is reviewing the laboratory data of a client who is scheduled for a liver biopsy. Which of the following values should the nurse report to the provider?
Correct Answer: D
Rationale: Liver biopsy risks bleeding due to vascularity, so platelets at 60,000/mm³ well below normal (150,000-400,000) signal thrombocytopenia, increasing hemorrhage risk. Normal bilirubin (1.0 mg/dL) and AST (34 units/L) reflect liver function, not clotting. Ammonia (55 mcg/dL) is normal, tied to encephalopathy, not biopsy safety. Low platelets impair hemostasis, often requiring transfusion or delay per procedural norms (e.g., AASL
D), prioritizing safety unlike normal labs, this demands provider action, making it the critical value to report.
Question 4 of 5
A nurse administered a dose of penicillin to a client 30 min ago. The client reports she has hives and is itching. Which of the following statements by the nurse is the highest priority?
Correct Answer: C
Rationale: Asking about difficulty breathing is the priority as it assesses for anaphylaxis, a life-threatening allergic reaction to penicillin, requiring immediate intervention.
Question 5 of 5
A nurse is providing first aid for a client who has a minor burn on one hand. Which of the following actions should the nurse take? (Select all that apply.)
Correct Answer: A,C,D
Rationale: Blister integrity (
A), pain relief with ibuprofen (
C), and cool water (
D) are correct. Ice can worsen damage, and open air isn't recommended initially.