ATI LPN
ATI PN Adult Medical Surgical 2020 with NGN 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 surgical emergency requiring immediate attention to prevent evisceration or infection.
Question 2 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 per day aligns with guidelines to reduce blood pressure, indicating understanding of hypertension prevention.
Question 3 of 5
A nurse is reinforcing teaching with a client who has heart failure and a new prescription for furosemide. The nurse should instruct the client to monitor for which of the following adverse effects?
Correct Answer: B
Rationale: Ringing in ears (tinnitus) is an adverse effect of furosemide, indicating potential ototoxicity, which requires immediate reporting.
Question 4 of 5
A nurse is caring for a client who is receiving mechanical ventilation via an endotracheal tube. Which of the following actions should the nurse take to reduce the risk of ventilator-associated pneumonia?
Correct Answer: A
Rationale: Performing oral care every 4 hours reduces bacterial growth in the oral cavity, lowering the risk of ventilator-associated pneumonia.
Question 5 of 5
A nurse is caring for a client who is postoperative following a total thyroidectomy for hyperthyroidism. Which of the following findings should the nurse identify as the priority?
Correct Answer: A
Rationale: A temperature of 39° C may indicate thyroid storm, a life-threatening condition requiring urgent intervention.