ATI LPN
ATI PN Adult Medical Surgical 2023 Questions
Extract:
Nurses' Notes
Vital Signs
Laboratory Results
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.
Postoperative day 1, 2345:
Client is anxious and restless. Reports pain in chest. Lung sounds clear bilaterally. Respirations are rapid and shallow. Skin cool and moist. Capillary refill 4 seconds. Radial and pedal pulses 1+. Abdominal wound dressing dry and intact.
Question 1 of 5
The nurse should anticipate a provider prescription for.
Correct Answer: C,D
Rationale: Chest pain and poor perfusion suggest possible embolism or anemia; bumetanide addresses fluid overload, PRBCs treat anemia.
Extract:
Question 2 of 5
A nurse is reinforcing teaching about foot care with a client who has diabetes mellitus. Which of the following client statements indicates understanding of the teaching?
Correct Answer: A
Rationale: Using the wrist to test water temperature prevents burns due to neuropathy in diabetic clients.
Question 3 of 5
A nurse is reinforcing teaching with a client who has diabetes mellitus about reducing the risk for a stroke. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: D
Rationale: Weight loss reduces stroke risk by improving cardiovascular health in diabetic clients.
Question 4 of 5
A nurse is collecting data from an older adult client. Which of the following findings should indicate to the nurse that the client has a bladder infection?
Correct Answer: A
Rationale: Changed mental status is a common sign of urinary tract infection in older adults.
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.