ATI LPN
ATI PN Adult Medical Surgical 2020 with NGN II Questions
Extract:
Question 1 of 5
A nurse has received change-of-shift report for four clients. Which of the following clients should the nurse attend to first?
Correct Answer: A
Rationale: Wound dehiscence is a medical emergency, as it risks evisceration, requiring the nurse to attend to this client first.
Question 2 of 5
A nurse is reinforcing teaching with a client who wants to lose 0.9 kg (2 lb) of body fat per week. The nurse knows that 0.45 kg (1 lb) of body fat is equal to 3,500 calories. The nurse should instruct the client to reduce his daily caloric intake by how many calories?
Correct Answer: A
Rationale:
To lose 2 lb per week, a 7,000-calorie deficit is needed (3,500 x 2). Dividing by 7 days gives a daily reduction of 1,000 calories, which is a safe and effective approach.
Question 3 of 5
A nurse is reviewing laboratory values for a client who is receiving long-term NSAID therapy for rheumatoid arthritis. Which of the following values should the nurse report to the provider?
Correct Answer: A
Rationale: An elevated BUN (40 mg/dL) suggests renal impairment, a potential NSAID side effect, requiring reporting to prevent further kidney damage.
Question 4 of 5
A nurse is assisting with the plan of care for a client who has botulism poisoning. Which of the following interventions should the nurse include in the plan?
Correct Answer: D
Rationale: Monitoring for muscle paralysis is critical, as botulism toxin causes flaccid paralysis, affecting respiratory and motor functions.
Question 5 of 5
A nurse is reinforcing teaching with a client about strategies to prevent hypertension. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: B
Rationale: Consuming no more than 2,000 mg of sodium daily aligns with recommendations to lower blood pressure and prevent hypertension.