ATI LPN
ATI PN Adult Medical Surgical 2023 III Questions
Extract:
Question 1 of 5
Which of the following actions should the nurse perform first when providing tracheostomy care?
Correct Answer: C
Rationale: Auscultating lungs first assesses the need for suctioning or other tracheostomy care steps.
Question 2 of 5
Which of the following client statements indicates understanding?
Correct Answer: A
Rationale: Using the wrist tests water temperature safely, protecting diabetic feet from burns.
Question 3 of 5
Which of the following values should the nurse report to the provider?
Correct Answer: A
Rationale: Low platelets (60,000/mm) increase bleeding risk during a liver biopsy, necessitating reporting.
Extract:
Nurse’s Notes (0700hrs)
Diagnostic Results
Vital Signs
Laboratory Results
Intake and Output
The client is alert and oriented to person, place, and time.
The client reports mild discomfort in the abdominal area.
The client’s skin is warm and dry to touch.
The client’s surgical wound appears clean with no signs of infection.
The client’s bowel sounds are present in all four quadrants.
The client’s peripheral pulses are palpable and equal bilaterally.
The client’s respiratory effort appears unlabored.
Question 4 of 5
A nurse is assisting in the care of a 68-year-old male client in the postoperative unit. The client underwent a major abdominal surgery. The nurse should anticipate a provider prescription for a certain medication. Please drag words from the choices below to fill in each blank in the following sentence: The nurse should anticipate a provider prescription for......... and.......
Correct Answer: C,G
Rationale: Postoperative stability (clean wound, normal bowel sounds) suggests fluid maintenance with 0.9% sodium chloride is appropriate, with no immediate need for other medications based on findings.
Extract:
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.