ATI LPN
ATI PN Adult Medical Surgical 2023 III Questions
Extract:
Vital Signs at 0905
Diagnostic Results at 0945
Medical History
Temperature: 37.1° C (98.7 F)
Heart rate: 110/min
Respiratory rate: 25/min
SpO2: 86%
Blood pressure: 118/76 mm Hg
A nurse is assisting with the care of a client in the emergency department. The client is alert and oriented x3. Wheezing is noted on exhalation with a prolonged breathing cycle. The cough is nonproductive. Use of accessory muscles is noted while breathing. The oral mucosa and lips are cyanotic. Nasal flaring is noted. The client experiences difficulty talking.
Question 1 of 5
Complete the diagram by dragging from the choices below to specify: What condition the client is most likely experiencing. Two actions the nurse should take to address that condition. Two parameters the nurse should monitor to assess the client's progress.
Correct Answer: B,E,F
Rationale: Wheezing, cyanosis, and accessory muscle use suggest asthma. Albuterol relieves bronchospasm, and monitoring ABGs and breath sounds assesses respiratory improvement.
Extract:
Question 2 of 5
Which of the following actions should the nurse perform first when providing tracheostomy care?
Correct Answer: C
Rationale: Auscultating lungs first assesses the need for suctioning or other tracheostomy care steps.
Question 3 of 5
Which of the following actions should the nurse assist with?
Correct Answer: C
Rationale: Starting cefazolin pre-surgery prevents infection, aligning with the order ‘on call for surgery.'
Question 4 of 5
After reviewing the medical data, which of the following actions should the nurse plan to take?
Correct Answer: A
Rationale: Without specific data, seizure precautions are inferred as a priority action, possibly due to neurological risk suggested by context.
Question 5 of 5
What should the nurse plan to do first?
Correct Answer: B
Rationale: Confirming NG tube placement ensures effective management of vomiting and constipation.