ATI LPN
ATI PN Adult Medical Surgical 2020 with NGN Questions
Extract:
Question 1 of 5
A nurse is assisting in the care of a client who has a pulmonary embolism and is experiencing dyspnea. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Placing the client in high-Fowler's position is the first action to improve oxygenation by maximizing lung expansion, which directly addresses the immediate issue of dyspnea in pulmonary embolism.
Question 2 of 5
A nurse is caring for a client who has pneumonia with dyspnea. The client's ABG results are pH 7.30, PaCO2 50 mm Hg, HCO3 26 mEq/L. The nurse should recognize that the client has which of the following acid-base imbalances?
Correct Answer: D
Rationale: The ABG results show a low pH (7.30) and high PaCO2 (50 mm Hg), indicating respiratory acidosis, which occurs due to impaired gas exchange and carbon dioxide retention in conditions like pneumonia.
Question 3 of 5
A nurse is reviewing laboratory values of a client who has severe dyspnea. Which of the following laboratory values indicates heart failure?
Correct Answer: D
Rationale: An elevated brain natriuretic peptide (BNP) level (275 pg/mL) indicates heart failure, as BNP is released by the heart under stress from increased pressure or volume overload, unlike normal electrolyte levels.
Question 4 of 5
A nurse is contributing to the plan of care for a client who has heart failure. Which of the following actions should the nurse include in the plan?
Correct Answer: C
Rationale: Allowing frequent rest periods reduces oxygen demand and cardiac workload, helping manage fatigue and dyspnea in heart failure, making it an appropriate intervention.
Question 5 of 5
A nurse is performing tracheostomy care for a client who has a chronic tracheostomy. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Allowing space for one finger under the tube ties ensures they are secure but not too tight, preventing skin breakdown or circulation issues, which is critical in tracheostomy care.