ATI LPN
ATI PN adult Medical Surgical 2020 with NGN Exam 3 Questions
Question 1 of 5
A nurse is reviewing the ABG values of a client who has pneumonia. Which of the following findings indicates the client is developing respiratory acidosis?
Correct Answer: A
Rationale: A PaCO2 of 55 mm Hg indicates respiratory acidosis due to carbon dioxide retention.
Question 2 of 5
A nurse is planning care for a client who is receiving radiation therapy to treat throat cancer and reports a change in the taste of food. Which of the following interventions should the nurse include in the plan of care?
Correct Answer: D
Rationale: Artificial saliva helps with dry mouth, improving taste perception post-radiation.
Question 3 of 5
A nurse is caring for a client who has diabetic neuropathy of the lower extremities and has a new prescription for a heating pad. The prescription reads, 'Apply to the left foot for 20 minutes.' Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Clarifying the prescription ensures safety, as diabetic neuropathy increases burn risk.
Question 4 of 5
A nurse is preparing to administer an intermittent enteral feeding to a client who has a nasogastric tube. Which of the following actions is the priority for the nurse to take?
Correct Answer: A
Rationale: Elevating the bed to 30° reduces aspiration risk, the priority during enteral feeding.
Question 5 of 5
A nurse is preparing to administer ceftriaxone using the Z-track technique to a client who has gonorrhea. After the nurse performs hand hygiene and reconstitutes the medication, what is the correct sequence the nurse should use to administer the medication?
Order the Items
Source Container
Correct Answer: C, D, B, E, A
Rationale: The correct sequence for the Z-track technique is: cleanse the site (
C), pull the skin laterally (
D), insert the needle (
B), aspirate and inject (E), then remove the needle and release the tissue (
A).