ATI LPN
ATI PN Adult Med Surg 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: B
Rationale: A separating incision suggests wound dehiscence, a surgical emergency requiring immediate attention. C. difficile stools, clear sputum, and moderate pain are less urgent.
Question 2 of 5
Which of the following symptoms should a nurse expect to find when assessing an infant who is dehydrated in an emergency department? Select all that apply
Correct Answer: A,D
Rationale: Tachycardia compensates for reduced fluid volume, and irritability results from discomfort in dehydrated infants. Bloating and hypertension are not typical.
Question 3 of 5
A nurse is caring for a client who is 4 hr postoperative following an abdominal surgery and notes that the client's abdominal incision is open and the internal organs are protruding. After contacting the rapid response team, which of the following actions should the nurse take next?
Correct Answer: C
Rationale: A moist saline dressing protects protruding organs, preventing damage until surgery. Vital signs, positioning, and bed elevation are secondary.
Question 4 of 5
A nurse in a health clinic is collecting data from an older adult client. Which of the following information in the client's history increases her risk for osteoporosis?
Correct Answer: C
Rationale: Lactose intolerance limits calcium intake, increasing osteoporosis risk. Walking, gardening, and moderate wine consumption support bone health.
Question 5 of 5
A home health nurse is reinforcing teaching with an older adult client about safety precautions to take in the home. Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: White tape on stairs improves visibility, reducing fall risk. Furnace checks should be annual, cords under carpets are hazardous, and rugs need securing.