ATI LPN
ATI LPN Advanced Med Surg Exam I Questions
Extract:
Question 1 of 5
The nurse is checking patency of a new right arm AV fistula. What action does the nurse use to do this?
Correct Answer: B
Rationale: Palpating for a thrill and auscultating for a bruit over the fistula is the correct method for assessing its patency. These signs confirm proper blood flow through the fistula.
Question 2 of 5
A nurse is preparing to administer levothyroxine 275 mcg PO to a client. The amount available is levothyroxine 137 mcg/tablet. How many tablets should the nurse administer? (Round to the nearest whole number. Use a leading zero if it applies. DO not use a trailing zero.)
Correct Answer: 2
Rationale: 275 mcg / 137 mcg/tablet = 2.007, rounded to 2 tablets.
Question 3 of 5
A nurse is collecting data from a client who has a urine output of 250 mL in a 24-hour period. Which of the following terms should the nurse use to document this finding in the electronic record?
Correct Answer: B
Rationale: Oliguria is the term used to describe a significantly reduced urine output, defined as less than 400 mL in a 24-hour period in adults. The client's urine output of 250 mL in 24 hours falls within this range.
Question 4 of 5
The nurse is working in a college clinic when a student comes in and says, 'I think I have a migraine. My head hurts, I cannot stand the bright light, and I feel sick to my stomach.' What additional finding is most concerning?
Correct Answer: D
Rationale: A positive Brudzinski sign suggests meningitis, a medical emergency requiring urgent assessment.
Question 5 of 5
A nurse is caring for a client experiencing a tonic-clonic seizure. What is the nursing priority in caring for this client?
Correct Answer: D
Rationale: Preventing airway occlusion or aspiration is the priority during a tonic-clonic seizure.