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Practice Question

A nurse is caring for a client who is in skeletal traction. Which of the following actions should the nurse take?

Answer Choices:

Correct Answer:

Ensure that there is at least 4.5 kg (10 lb) of weight applied to the client's traction.

Rationale:

🟥 Skeletal traction requires adequate weight to maintain alignment and promote bone healing.

🟥 4.5 kg (10 lb) is a standard minimum for effective skeletal traction unless otherwise prescribed.

🟥 Weights should never be removed or adjusted without an order, as doing so can cause misalignment or worsen the injury.

🟥 Maintaining the correct setup also helps in pain control and prevents further injury.

🟥 The nurse’s role includes routine monitoring to ensure continuous traction effectiveness and patient safety.

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This question is from ATI PN Adult Medical Surgical 2023 which contains 69 questions.

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A nurse is reinforcing teaching about home safety measures with a client who is visually impaired. Which of the following instructions should the nurse include?

Answer Choices:

A. Mark the edges of steps.
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A nurse is reinforcing discharge teaching with a client regarding self-administration of regular insulin. Which of the following instructions should the nurse include?

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A. Warm the insulin vial to dissolve any crystals that develop.
B. Keep unopened insulin vials in the freezer.
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A nurse is caring for a client who has a tracheostomy. When providing tracheostomy care, which of the following actions should the nurse perform first?

Answer Choices:

A. Change the dressing on the tracheostomy site.
B. Suction the tracheostomy tube.
C. Auscultate the client's lungs.
D. Clean the inner cannula.
A nurse is reinforcing teaching with a client who has angina. Which of the following statements by the client indicates an understanding of the teaching?

Answer Choices:

A. "I will have hot, dry, and flushed skin if I am having a heart attack."
B. "I will wait 30 minutes before taking action if I have heartburn."
C. "I will notify emergency response if I have sudden jaw pain."
D. "I will take four nitroglycerin sublingual tablets if I have chest pain."
A nurse is caring for a client who requires seizure precautions. Which of the following equipment should the nurse place at the client's bedside?

Answer Choices:

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From Exam
ATI PN Adult Medical Surgical 2023

69 Questions

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Question Details
  • Category: LPN Nursing Exam(s)
  • Subcategory: LPN ATI Exams
  • Domain: Medical-Surgical
  • Answer Choices: 4
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