ATI PN Adult Medical Surgical 2020 with NGN II | Nurselytic

Questions 71

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ATI PN Adult Medical Surgical 2020 with NGN II Questions

Question 1 of 5

A nurse is caring for a client who is experiencing muscle spasms and has a new prescription for an aquathermia pad. Which of the following actions should the nurse take?

Correct Answer: B

Rationale: Covering the aquathermia pad prevents burns or irritation by avoiding direct skin contact, ensuring safe application.

Question 2 of 5

A nurse is reinforcing teaching with a client who has COPD and reports shortness of breath and little appetite. Which of the following instructions should the nurse include in the teaching?

Correct Answer: A

Rationale: Limiting fluid intake during meals prevents early fullness, allowing more room for nutrient-dense foods to support appetite in COPD.

Question 3 of 5

A nurse is collecting data from a client who is experiencing opioid toxicity. Which of the following findings should the nurse expect?

Correct Answer: B

Rationale: Respiratory depression is a hallmark of opioid toxicity, resulting from excessive stimulation of brain regions regulating breathing.

Question 4 of 5

A nurse is assisting with care for a client who received a tuberculin skin test 72 hours ago. When collecting data from the test site, which of the following findings indicates a need for further testing?

Correct Answer: A

Rationale: A palpable induration greater than 10 mm indicates possible tuberculosis exposure, necessitating further diagnostic testing.

Question 5 of 5

A nurse is caring for a client who has a distal radius fracture with a short arm cast applied. Which of the following actions should the nurse take?

Correct Answer: D

Rationale: Performing neurovascular checks every 2 hours detects complications like compartment syndrome, ensuring timely intervention.

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