ATI LPN
ATI PN Adult Med Surg 2020 with NGN Questions
Question 1 of 5
The nurse caring for a client reviews the medical record and determines the client is at risk for developing a potassium deficit because of which situation?
Correct Answer: D
Rationale: Nasogastric suction removes gastric secretions that contain potassium, leading to a loss of potassium from the body, which can cause hypokalemia. Addison's disease and tissue damage cause hyperkalemia, and uric acid levels are unrelated to potassium.
Question 2 of 5
A nurse is assisting with the plan of care for a client who has botulism poisoning. Which of the following interventions should the nurse include in the plan?
Correct Answer: A
Rationale: Botulism causes muscle paralysis, making monitoring for this symptom critical for early detection and intervention. Contact isolation is not needed, increased salivation is not typical, and clindamycin is not used for botulism treatment.
Question 3 of 5
A nurse is assisting with the care of a client who is receiving peritoneal dialysis. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Weighing the client before and after peritoneal dialysis evaluates fluid removal effectiveness. Dialysate should be warmed, sterile gloves are required, and diarrhea is not a common complication.
Question 4 of 5
A nurse is collecting data about immunizations from a 65-year-old client who has no identified risk factors for disease. The nurse should identify the client's need for which of the following immunizations?
Correct Answer: B
Rationale: The herpes zoster vaccine is recommended for adults over 60 to prevent shingles. Polio vaccine is for specific risk groups, HPV is for younger individuals, and MMR is for those born after 1957 without immunity.
Question 5 of 5
A nurse has received change-of-shift report for four clients. Which of the following clients should the nurse attend to first?
Correct Answer: B
Rationale: A separating incision suggests wound dehiscence, a surgical emergency requiring immediate attention. C. difficile stools, clear sputum, and moderate pain are less urgent.