ATI LPN
ATI PN adult Medical Surgical 2020 with NGN Exam 3 Questions
Extract:
Question 1 of 5
A nurse in a long-term care facility is collecting data from an older adult client. Which of the following findings indicates that the client might be dehydrated?
Correct Answer: B
Rationale: Confusion in older adults can be a sign of dehydration, as it affects cognitive function.
Question 2 of 5
A nurse is collecting data from a client who is 8 hours postoperative following abdominal surgery. The client's blood pressure is 94/56 mm Hg. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: Comparing the current blood pressure with the preoperative value helps determine the clinical significance and guides further action.
Question 3 of 5
A nurse is assisting with the plan of care for a client who has osteoarthritis. The client reports knee stiffness upon ambulation. Which of the following interventions should the nurse include in the plan of care?
Correct Answer: C
Rationale: Applying moist heat helps relax muscles and increase circulation, reducing stiffness before ambulation.
Question 4 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.
Question 5 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.