ATI LPN
ATI PN Adult Medical Surgical 2020 with NGN Questions
Question 1 of 5
A nurse is caring for a client who is at risk for anaphylaxis due to bee stings. When reinforcing teaching about the use of an automatic epinephrine injector, which of the following actions is the priority?
Correct Answer: B
Rationale: Informing the client to seek medical attention after using the epinephrine injector is the priority because anaphylaxis is a life-threatening condition that requires immediate follow-up care to prevent complications or recurrence, as epinephrine's effects may wear off.
Question 2 of 5
A nurse is assisting in the care of a client who has a pulmonary embolism and is experiencing dyspnea. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Placing the client in high-Fowler's position is the first action to improve oxygenation by maximizing lung expansion, which directly addresses the immediate issue of dyspnea in pulmonary embolism.
Question 3 of 5
A nurse is caring for a client who has pneumonia with dyspnea. The client's ABG results are pH 7.30, PaCO2 50 mm Hg, HCO3 26 mEq/L. The nurse should recognize that the client has which of the following acid-base imbalances?
Correct Answer: D
Rationale: The ABG results show a low pH (7.30) and high PaCO2 (50 mm Hg), indicating respiratory acidosis, which occurs due to impaired gas exchange and carbon dioxide retention in conditions like pneumonia.
Question 4 of 5
A nurse is reviewing laboratory values of a client who has severe dyspnea. Which of the following laboratory values indicates heart failure?
Correct Answer: D
Rationale: An elevated brain natriuretic peptide (BNP) level (275 pg/mL) indicates heart failure, as BNP is released by the heart under stress from increased pressure or volume overload, unlike normal electrolyte levels.
Question 5 of 5
A nurse is contributing to the plan of care for a client who has heart failure. Which of the following actions should the nurse include in the plan?
Correct Answer: C
Rationale: Allowing frequent rest periods reduces oxygen demand and cardiac workload, helping manage fatigue and dyspnea in heart failure, making it an appropriate intervention.