ATI LPN
ATI PN Adult Medical Surgical 2020 with NGN Questions
Extract:
Question 1 of 5
A nurse in a provider's office is reinforcing teaching about disease prevention with an older adult client. Which of the following immunizations should the nurse recommend to the client?
Correct Answer: A
Rationale: The pneumococcal vaccine is recommended for adults 65 and older to prevent pneumococcal disease, a significant risk in this age group.
Question 2 of 5
A nurse is monitoring a client who is undergoing a blood transfusion of packed RBCs. The nurse should recognize that which of the following findings indicates fluid overload?
Correct Answer: A
Rationale: Dyspnea indicates fluid overload during a transfusion, as excess volume can lead to pulmonary congestion, requiring immediate action.
Question 3 of 5
A nurse is obtaining a medication history from a client who is to start taking nitroglycerin for chest discomfort with activity. Which of the following medications should the nurse instruct the client to avoid taking within 24 hours of using nitroglycerin?
Correct Answer: D
Rationale: Sildenafil can cause severe hypotension when taken with nitroglycerin, necessitating avoidance within 24 hours.
Question 4 of 5
A nurse is collecting data from a client who had a left hemispheric stroke. Which of the following findings should the nurse report to the provider immediately?
Correct Answer: D
Rationale: A change in pupil size may indicate increased intracranial pressure, a life-threatening stroke complication requiring immediate reporting.
Question 5 of 5
A nurse is caring for a client who is 1 day postoperative following an appendectomy. Which of the following findings should the nurse report?
Correct Answer: C
Rationale: Red streaks along the incision indicate possible cellulitis, a bacterial infection requiring prompt reporting to prevent complications.