ATI LPN
ATI PN Adult Medical Surgical 2020 with NGN II Questions
Extract:
Question 1 of 5
A charge nurse is reinforcing teaching about infection control with a newly licensed nurse. Which of the following actions by the newly licensed nurse indicates an understanding of the teaching?
Correct Answer: B
Rationale: Cleaning a blood spill with chlorine bleach effectively disinfects surfaces, demonstrating proper infection control.
Question 2 of 5
A nurse enters a client's room and sees smoke coming from the trash can next to the client's bed. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: Removing the client from the room ensures their immediate safety from smoke and fire exposure, following the RACE protocol.
Question 3 of 5
A nurse is caring for a client in hospice care who is dying. The client's partner expresses concern that the client is sleeping more than in the previous week. Which of the following is an appropriate response by the nurse?
Correct Answer: D
Rationale: Sitting quietly near the bedside offers emotional support and acknowledges the natural process of increased sleep in end-of-life care.
Question 4 of 5
A nurse in an urgent care facility is collecting data from a client who was stung by a wasp. Which of the following findings indicates the client is experiencing anaphylaxis?
Correct Answer: B
Rationale: Difficulty swallowing indicates airway obstruction from swelling, a life-threatening sign of anaphylaxis requiring urgent intervention.
Question 5 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.