ATI Protocol Exam on Med Surgery 2 for LPN

Free preview · Original latest version

Sample questions from ATI Protocol Exam on Med Surgery 2 for LPN

This material has 90 questions with answers and rationales. Here are the first 5.

1. 1.At change of shift on a medical-surgical unit, the nurse receives report on four clients. Which client should the practical nurse report to the RN first?

   • A.A client with chronic heart failure who has gained 0.5 kg (1.1 lb) in 24 hours and has mild ankle edema
   • B.A client with a urinary catheter who has produced 40 mL of urine in the last hour
   • C.A client 2 hours after abdominal surgery who is newly restless, has an SpO2 of 88% on room air, and is breathing rapidly
   • D.A client with diabetes who requests a snack before the scheduled meal

   Rationale: New restlessness, rapid breathing, and an SpO2 of 88% can indicate acute hypoxemia and require prompt RN notification. The weight gain and edema need follow-up but are less urgent without acute respiratory findings. The snack request and urine output of 40 mL in an hour do not take priority over impaired oxygenation; report the change rather than independently diagnosing or changing the plan of care.

2. 2.During a home visit, a client who takes warfarin says, "I started taking an over-the-counter pain medicine every day." Which response by the practical nurse is best?

   • A."Do not take any more pain medicine, and I will document this at the next visit."
   • B."Stop taking warfarin until your next appointment."
   • C."Taking an over-the-counter medicine with warfarin is safe if you take it with food."
   • D."Please tell me the name and dose of the pain medicine; I will report this to the RN so the medication list can be reviewed."

   Rationale: Identifying the product and dose and promptly reporting the information supports medication reconciliation and safe coordination of care. The practical nurse should not independently stop a prescribed anticoagulant or assure the client that an unknown medicine is safe. Waiting until the next visit delays review of a possible interaction; reinforce that the client should check with the care team before adding nonprescription medicines.

3. 3.A client scheduled for a diagnostic procedure says, "I signed the consent, but I still do not understand the risks." What should the practical nurse do?

   • A.Notify the RN and the provider that the client has unanswered questions before the procedure proceeds.
   • B.Explain the risks using the procedure consent form and ask the client to sign again.
   • C.Tell the client the procedure is routine and encourage them to continue.
   • D.Witness a new signature after the client says they are willing to proceed.

   Rationale: The client's unanswered questions mean the provider must be informed so the questions can be addressed before the procedure. The practical nurse may reinforce previously provided information but should not provide the initial explanation of risks or obtain informed consent in place of the provider. Reassurance that a procedure is routine does not resolve the client's concern, and witnessing a signature does not establish understanding.

4. 4.Refer to the client's chart. Which actions should the practical nurse take in response to the client's changing condition? Select all that apply.

   • A.Report the decreasing blood pressure and new dizziness to the RN promptly.
   • B.Offer the prescribed antihypertensive medication early to correct the elevated blood pressure.
   • C.Keep the client seated or lying down and use fall precautions while awaiting direction.
   • D.Assist the client to stand for a walk to assess whether the dizziness resolves.
   • E.Document the timed findings and the RN notification according to facility policy.

   Answer and rationale are in the full material.

5. 5.A parent brings a 6-year-old child to a community clinic for a scheduled appointment. The parent asks for a copy of the child's immunization record to share with the school. Which action is appropriate for the practical nurse?

   • A.Ask the school to call the clinic and provide the record over the phone.
   • B.Verify the parent's identity and follow facility policy for releasing the record to the parent.
   • C.Provide the record directly to the school without confirming authorization.
   • D.Tell the parent that only the provider can discuss immunizations.

   Answer and rationale are in the full material.