ATI > LPN

Exam Review

ATI LPN Adult Medical Surgical 2023

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Total Questions : 84

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Question 1:

A nurse is reinforcing teaching with a client who wants to lose 0.9 kg (2 lb) of body fat per week.

The nurse knows that 0.45 kg (1 lb) of body fat is equal to 3,500 calories.

The nurse should instruct the client to reduce his daily caloric intake by how many calories?

(Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Answer and Explanation
Correct Answer: "1000" calories

Explanation

Step 1: Calculate the total caloric reduction needed per week to lose 0.9 kg (2 lb). 2 lb × 3,500 calories/lb = 7,000 calories.

Step 2: Divide the total weekly caloric reduction by the number of days in a week. 7,000 calories ÷ 7 days = 1,000 calories/day.

Final answer: 1,000.


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Question 2:
A nurse is contributing to the plan of care for a client who has AIDS and has malnutrition.
Which of the following actions should the nurse include in the plan of care?
Answer and Explanation

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Question 3:
A nurse is reinforcing teaching with a client who has iron-deficiency anemia.
The nurse should instruct the client that which of the following foods has the highest iron content?
Answer and Explanation

A
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Question 4:
A nurse is initiating the use of a continuous passive motion (CPM) device for a client following a total knee arthroplasty.
Which of the following actions should the nurse take?
Answer and Explanation

A
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Question 5:
A nurse on the oncology unit is evaluating a client's response after receiving a dose of aprepitant.
Which of the following therapeutic effects should the nurse expect?
Answer and Explanation

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Question 6:
A nurse is evaluating a client's acceptance of having a new ileostomy.
Which of the following statements by the client indicates acceptance?
Answer and Explanation

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Question 7:

A nurse is obtaining a sterile urine specimen from a client who has an indwelling urinary catheter.
Identify the sequence the nurse should follow.

Answer and Explanation

Explanation

Choice Erationale

Clamping the catheter tubing distal to the sampling port for 15 minutes helps to ensure that enough urine is collected in the tubing for an adequate sample.

Choice B rationale

Wiping the sample port with an alcohol wipe and letting it dry is essential to prevent contamination of the specimen with microorganisms from the outside of the port.

Choice D rationale

Attaching a sterile needleless syringe to the sample port and aspirating the specimen prevents the introduction of infection and ensures that the sample is sterile.

Choice Crationale

Emptying the urine into a sterile container labeled with the client's identifiers ensures proper identification and prevents contamination of the sample.

Choice Arationale

Documenting in the client's electronic medical record that the specimen was sent to the laboratory provides a record of the procedure and helps ensure that the sample is properly processed.


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Question 8:
A nurse is assisting with the care of a client who has a closed-chest tube drainage system.
Which of the following actions should the nurse take?
Answer and Explanation

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Question 9:
A nurse working the night shift is caring for an older adult client who has dementia and is at risk for falls.Which of the following actions should the nurse take?
Answer and Explanation

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Question 10:
A nurse is reviewing the results of a client's fecal occult blood screening test.Which of the following findings from the client's history should the nurse identify as potentially causing a false-positive result?
Answer and Explanation

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