ATI LPN
ATI PN Adult Medical Surgical 2023 III Questions
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 1 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 2 of 5
The nurse should actively monitor the patient for which of the following?
Correct Answer: B
Rationale:
Total parenteral nutrition increases serum glucose risk, requiring monitoring for hyperglycemia.
Question 3 of 5
Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Semi-Fowler's position reduces abdominal pressure pre-appendicitis surgery.
Extract:
Provider’s Prescriptions
Laboratory Results
A nurse is caring for a client who has a new prescription for cefazolin. The client is also taking the following medications:
Lisinopril 20 mg PO daily
Furosemide 40 mg PO twice daily
Allopurinol 200 mg PO three times daily
Question 4 of 5
Which of the following findings should the nurse identify as a contraindication to the administration of cefazolin? Select all that apply
Correct Answer: B,E
Rationale: Allergy history is a contraindication to cefazolin (a cephalosporin) due to potential anaphylaxis. Furosemide may interact, increasing nephrotoxicity risk.
Extract:
Question 5 of 5
Which statement indicates they understand the teaching?
Correct Answer: A
Rationale: Limiting sodium to 2,000 mg/day helps prevent hypertension, a key strategy.