ATI LPN
ATI PN Adult Medical Surgical 2023 III Questions
Extract:
Day 1, 1000
Day 1, 1100
Day 1, 1000 - Physical Exam
Day 1, 1030 - Diagnostic Results
• Blood pressure: 92/60 mm Hg
• Pulse: 106/min
• Temperature: 38.3 C (101F)
• Oxygen saturation: 95%
Question 1 of 5
The nurse is collecting data on the client. Which of the following findings require follow-up?
Correct Answer: A,B,C,F
Rationale: Blood pressure of 92/60 mm Hg (hypotension), elevated BUN, abdominal findings, and potassium levels require follow-up due to potential shock, renal dysfunction, or electrolyte imbalance, especially with fever and tachycardia.
Extract:
Question 2 of 5
What steps should the nurse take?
Correct Answer: C
Rationale: Dependent position enhances blood flow for accurate glucose testing.
Question 3 of 5
Which of the following information should the nurse include in the teaching?
Correct Answer: B
Rationale: Moderate sedation is standard for colonoscopy, ensuring comfort and compliance.
Extract:
Medical History
Vital Signs
Laboratory Findings
The client reports a 24-hour history of fever, chills, weakness, and feeling really bad. The client’s extremities follow simple commands. There is warmth and edema. The client reports pain when the arm is touched. Thrill and bruit are present. Radial pulses are palpable. The client reports no numbness and tingling to the right hand.
Question 4 of 5
The nurse is reviewing the client's findings. The client is at the highest risk for developing..... due to........
Correct Answer: A,G
Rationale: Fever, chills, weakness, and warmth/edema at the AVF site indicate a high risk for sepsis due to infection, a common complication of vascular access sites.
Extract:
Question 5 of 5
Which of the following interventions should the nurse plan to include?
Correct Answer: B
Rationale: Small, frequent meals improve nutrition in HIV patients with reduced appetite.