ATI LPN
ATI PN adult Medical Surgical 2020 with NGN Exam 3 Questions
Extract:
Question 1 of 5
A nurse in a provider's office is collecting data from a client one month following surgery for a new colostomy. Which of the following statements indicates the client is in the acceptance stage of grieving?
Correct Answer: A
Rationale: Purchasing a stoma cap indicates proactive adaptation, reflecting acceptance of the colostomy.
Question 2 of 5
A nurse is preparing to administer an intermittent enteral feeding to a client who has a nasogastric tube. Which of the following actions is the priority for the nurse to take?
Correct Answer: A
Rationale: Elevating the bed to 30° reduces aspiration risk, the priority during enteral feeding.
Question 3 of 5
A nurse is reinforcing teaching with a client who has a new prescription for alendronate for the treatment of osteoporosis. Which of the following instructions should the nurse include?
Correct Answer: D
Rationale: Sitting upright for 30 to 60 minutes after taking alendronate prevents esophageal irritation and promotes absorption.
Question 4 of 5
A nurse is assisting with the care of a client who is receiving penicillin via intermittent IV bolus. Which of the following should the nurse recognize as a clinical manifestation of anaphylaxis?
Correct Answer: B
Rationale: Pruritus is a common early sign of an allergic reaction, potentially indicating anaphylaxis.
Question 5 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.