ATI LPN
ATI PN Adult Medical Surgical 2023 III Questions
Extract:
Question 1 of 5
Who should the nurse attend to first?
Correct Answer: C
Rationale: Decreased consciousness post-head injury suggests deterioration, requiring urgent assessment.
Question 2 of 5
Which interdisciplinary team member should the nurse recommend for a referral?
Correct Answer: C
Rationale: An occupational therapist assists with utensil use, improving independence in Parkinson's patients.
Question 3 of 5
Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: Marking step edges enhances safety for visually impaired clients.
Question 4 of 5
Which statement from the client suggests they have overflow incontinence?
Correct Answer: D
Rationale: Dribbling indicates overflow incontinence due to incomplete bladder emptying.
Extract:
Vital Signs at 0905
Diagnostic Results at 0945
Medical History
Temperature: 37.1° C (98.7 F)
Heart rate: 110/min
Respiratory rate: 25/min
SpO2: 86%
Blood pressure: 118/76 mm Hg
A nurse is assisting with the care of a client in the emergency department. The client is alert and oriented x3. Wheezing is noted on exhalation with a prolonged breathing cycle. The cough is nonproductive. Use of accessory muscles is noted while breathing. The oral mucosa and lips are cyanotic. Nasal flaring is noted. The client experiences difficulty talking.
Question 5 of 5
Complete the diagram by dragging from the choices below to specify: What condition the client is most likely experiencing. Two actions the nurse should take to address that condition. Two parameters the nurse should monitor to assess the client's progress.
Correct Answer: B,E,F
Rationale: Wheezing, cyanosis, and accessory muscle use suggest asthma. Albuterol relieves bronchospasm, and monitoring ABGs and breath sounds assesses respiratory improvement.