ATI LPN
ATI PN adult Medical Surgical 2020 with NGN Exam 3 Questions
Extract:
Question 1 of 5
A nurse administered a dose of penicillin to a client 30 minutes ago. The client reports that she has hives and is itching. Which of the following statements by the nurse is the highest priority?
Correct Answer: B
Rationale: Difficulty breathing may indicate anaphylaxis, a medical emergency requiring immediate assessment.
Question 2 of 5
A nurse is collecting data from a client who is postoperative and has a deep vein thrombosis of the right calf. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Bed rest prevents the clot from dislodging, reducing the risk of pulmonary embolism.
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: Hypotension is a common finding in opioid toxicity due to its depressant effects on the autonomic nervous system.
Question 4 of 5
A nurse is caring for a client who has diabetes mellitus. Which of the following laboratory findings indicates the client has maintained control of his blood glucose levels for the past 3 months?
Correct Answer: D
Rationale: An HbA1c of 6.5% indicates good blood glucose control over the past 3 months.
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.