ATI LPN
ATI PN Adult Medical Surgical 2023 III Questions
Extract:
Question 1 of 5
Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: A
Rationale: Jaw pain is a heart attack symptom, warranting emergency response in angina patients.
Question 2 of 5
Which interdisciplinary team member should the nurse recommend for a referral?
Correct Answer: C
Rationale: An occupational therapist addresses utensil difficulties, supporting Parkinson's patients' daily activities.
Extract:
Vital Signs
Nurse’s Notes
Diagnostic Results
• Temperature: 39.1 C (102.4° F)
A nurse is reviewing prescriptions from the provider. The prescriptions include:
Provider’s Prescriptions
Obtain daily weight
Obtain blood cultures x2
Swab culture at AVF site
Oxygen at 2 to 4 L nasal cannula for saturation less than 95%
Initiate peripheral venous access
Vancomycin 1 gram by intermittent IV bolus every 12 hr, infuse over 90 minutes
Nutritional consult
Acetaminophen 325 mg PO every 6 hr for temperature greater than 38.3 C (101° F)
Diphenhydramine 25 mg PO every 6 hr
Question 3 of 5
The nurse should first:
Correct Answer: F
Rationale: Obtaining blood cultures first ensures an accurate diagnosis of infection (e.g., from the AVF site) before antibiotics are administered, which could alter culture results.
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.
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 5 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.