ATI LPN
ATI LPN Adult Medical Surgical 2023 II 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: B
Rationale: A motion sensor mat alerts staff to movement, reducing fall risk without restricting the client, which is safer for dementia patients.
Question 2 of 5
A nurse is reviewing the results of a client's fecal occult blood screening test. Which of the following findings from the client's history should the nurse identify as potentially causing a false-positive result?
Correct Answer: A
Rationale: Ibuprofen can cause gastrointestinal irritation or bleeding, leading to a false-positive fecal occult blood test result.
Question 3 of 5
A nurse is reinforcing teaching with a client about breast self-examinations. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: D
Rationale: Asymmetry in breast size is normal, indicating the client understands typical breast variations during self-examination teaching.
Question 4 of 5
A nurse is caring for a client who has a prescription for propranolol for the treatment of atrial fibrillation. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Propranolol, a beta-blocker, should be withheld if systolic BP is <90 mm Hg to avoid exacerbating hypotension.
Question 5 of 5
A nurse is assisting with the plan of care for an older adult client who has a new prescription for transdermal clonidine. Which of the following information should the nurse include in the plan of care?
Correct Answer: A
Rationale: Clonidine commonly causes dry mouth, an expected side effect that should be included in client education.