ATI LPN
ATI PN adult Medical Surgical 2020 with NGN Exam 3 Questions
Extract:
Question 1 of 5
A charge nurse is observing a newly licensed nurse care for a client who is at risk for falls. Which of the following findings should the nurse identify as a risk factor for falls?
Correct Answer: D
Rationale: Socks without grips can cause slipping, increasing fall risk.
Question 2 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: C
Rationale: A palpable area of induration greater than 10 mm is considered a positive result in certain populations, requiring further evaluation.
Question 3 of 5
A nurse is reinforcing discharge instructions with a client who is taking oral iron supplementation for anemia. Which of the following statements by the client demonstrates an understanding of the teaching?
Correct Answer: D
Rationale: Increasing fiber intake helps prevent constipation, a common side effect of iron supplements.
Question 4 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 5 of 5
A nurse is providing care to a client who has sustained deep partial thickness burns to the back of both legs. Which of the following actions should the nurse anticipate taking?
Correct Answer: B
Rationale: Changing gloves between wound care on different areas prevents cross-contamination, a critical infection control measure.