ATI LPN
ATI PN Adult Medical Surgical 2023 III Questions
Extract:
Question 1 of 5
What should the home health nurse include in their teaching?
Correct Answer: C
Rationale: Placing cords against the wall reduces tripping risk post-hip arthroplasty.
Question 2 of 5
Which client statement indicates understanding of the teaching?
Correct Answer: B
Rationale: Weight loss reduces stroke risk by improving cardiovascular health, aligning with diabetes management.
Extract:
Vital Signs
Nurses’ Notes
Diagnostic Results
Provider’s Prescriptions
Postoperative day 1, 0600:
Temperature: 36.4 C (97.5 F)
Heart rate: 84/min
Respiratory rate: 18/min
Blood pressure: 106/74 mm Hg
Oxygen saturation: 97% on room air
2330:
Temperature: 36.3 C(97.3 F)
Heart rate: 104/min
Respiratory rate: 24/min
Blood pressure: 88/54 mm Hg
Oxygen saturation: 96% on room air
The nurse is continuing to assist in the care of the client.
Question 3 of 5
For each data collection finding, specify if the finding on postoperative day 1 is consistent with hypovolemic shock or pulmonary embolism. Each finding may support more than one disease process or none at all.
| Options | Hypovolemic Shock | Pulmonary Embolism |
|---|---|---|
| Respiratory effort | ||
| Heart rate | ||
| Pain | ||
| Blood pressure | ||
| Mentation |
Correct Answer: B,D
Rationale: Tachycardia (heart rate 104/min) and hypotension (88/54 mm Hg) on day 1 at 2330 are consistent with hypovolemic shock due to fluid loss post-surgery.
Extract:
Question 4 of 5
Which of the following statements by the patient indicates an understanding of the teaching?
Correct Answer: C
Rationale: Six small meals reduce GERD symptoms by minimizing stomach distension.
Question 5 of 5
Which of the following findings would indicate to the nurse that the patient has accepted their new altered body image?
Correct Answer: C
Rationale: Participation in ostomy care shows acceptance of the new body image.