ATI LPN
ATI PN Adult Medical Surgical 2023 Questions
Extract:
Nurses' Notes
Vital Signs
Diagnostic Results
Intake and Output
Postoperative day 1, 0900:
Client admitted following surgical removal of an abdominal abscess. Client alert and oriented to person, place, and time. Lung sounds clear bilaterally. Skin warm and dry to touch. Capillary refill 2 seconds. Radial and pedal pulses 2+. Abdominal wound dressing dry and intact.
Question 1 of 5
The nurse is continuing to assist in the care of the client. For each data collection finding, click to specify if the finding on postoperative day 1 is consistent with hypovolemic shock or pulmonary embolism. Each finding may support more than 1 disease process or none at all.
| Options | Hypovolemic Shock | Pulmonary Embolism |
|---|---|---|
| Heart rate | ||
| Respiratory effort | ||
| Pain | ||
| Blood pressure | ||
| Mentation |
Correct Answer:
Rationale: At 0900, findings are normal, not indicating hypovolemic shock or pulmonary embolism.
Extract:
Question 2 of 5
A nurse is preparing to administer heparin 15,000 units every 12 hr subcutaneously to a client who weighs 80 kg. Available is 10,000 units/mL. How many mL should the nurse administer with each dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 1.5
Rationale: Calculation: (15,000 units / 10,000 units/mL) = 1.5 mL, per dose requirement.
Question 3 of 5
A nurse is assisting with planning care for a client who was admitted for reports of severe coughing, night sweats, and blood in the sputum. Which of the following precautions should the nurse take?
Correct Answer: A
Rationale: A negative-pressure room is required for airborne precautions, as these symptoms suggest tuberculosis.
Question 4 of 5
A nurse is assisting with postoperative care of a client who had surgery for creation of a colostomy 24 hr ago. Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: No fecal output within 24 hours post-colostomy may indicate an obstruction, requiring provider attention.
Extract:
Medical History.
Vital Signs
Nurses' Notes
Cerebrovascular accident 2 years ago Coronary artery disease
Hypertension
Question 5 of 5
A nurse is reviewing the client's medical record. After reviewing the medical record, which of the following actions should the nurse plan to take? For each potential provider's prescription, click to specify if the potential prescription is anticipated, nonessential, or contraindicated for the client.
| Options | Anticipated | Non-essential | Contraindicated |
|---|---|---|---|
| Assist the client to the bathroom. | |||
| Initiate seizure precautions. | |||
| Record GCS every $15 \mathrm{~min}$ for the first $4 \mathrm{hr}$. | |||
| Elevate the head of the bed | |||
| Keep the client's head in midline position | |||
| Encourage the client to cough | |||
| Decrease oxygen to $1.5 \mathrm{~L} / \mathrm{min}$ via nasal cannula |
Correct Answer: A: Anticipated, B: Non-essential, C: Non-essential, D: Anticipated, E: Anticipated, F: Non-essential, G: Contraindicated
Rationale: A, D, E are anticipated to support mobility, reduce ICP, and maintain alignment post-CVA; G is contraindicated without specific oxygen needs assessed.