ATI LPN
ATI PN Adult Medical Surgical 2023 III Questions
Extract:
Question 1 of 5
What findings should the nurse anticipate?
Correct Answer: C
Rationale: Lower extremity edema is a hallmark of right-sided heart failure due to fluid backup.
Question 2 of 5
What actions should the nurse take?
Correct Answer: A
Rationale: Reminiscence therapy supports cognitive function in Alzheimer's patients.
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 3 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 4 of 5
What responses should the nurse make?
Correct Answer: B
Rationale: One testicle removal preserves erectile function, addressing the patient's concern accurately.
Question 5 of 5
What is the nurse's priority action?
Correct Answer: B
Rationale: Ventricular tachycardia requires immediate defibrillation to restore rhythm, per ACLS guidelines.