ATI LPN
ATI PN Adult Med Surg 2020 with NGN Questions
Extract:
Question 1 of 5
A nurse is assisting in the care of a client who had an ischemic stroke. Which of the following observations by the nurse indicates a need for an occupational therapy referral?
Correct Answer: A
Rationale: Exhaustion during daily tasks like brushing teeth indicates a need for occupational therapy to improve function. Coughing, walking, and reading suggest other referrals.
Question 2 of 5
A nurse is caring for a client who is receiving mechanical ventilation. Which of the following actions should the nurse take to prevent ventilator-associated pneumonia?
Correct Answer: A
Rationale: Oral care every 4 hours reduces bacterial growth, preventing pneumonia. Supine positioning increases risk, suctioning frequency varies, and humidification is needed.
Question 3 of 5
A nurse is assisting with the plan of care for an older adult client who has a new prescription for transdermal clonidine. Which of the following information should the nurse include in the plan of care?
Correct Answer: B
Rationale: Clonidine causes dry mouth, requiring oral hygiene advice. Weight loss, diarrhea, and hypopigmentation are not common effects.
Question 4 of 5
A nurse is preparing to administer ceftriaxone using the z-track technique to a client who has gonorrhea. After the nurse performs hand hygiene and reconstitutes the medication, identify the sequence the nurse should use to administer the medication.
Correct Answer: A,C,B
Rationale: Z-track sequence: pull skin laterally, aspirate and inject, then remove needle and release skin to prevent leakage and irritation.
Question 5 of 5
A nurse is collecting data from a client who is African-American. Which of the following areas should the nurse check to determine the presence of pallor?
Correct Answer: A
Rationale: The conjunctiva reliably shows pallor in darker skin tones. Ear, abdomen, and antecubital areas are less indicative.