ATI LPN
ATI PN Adult Medical Surgical 2020 with NGN II 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, addressing the immediate issue of impaired gas exchange caused by the pulmonary embolism.
Question 2 of 5
A nurse is preparing a client for a sigmoidoscopy. In which of the following positions should the nurse place the client?
Correct Answer: B
Rationale: The knee-chest position facilitates access and visualization of the sigmoid colon during sigmoidoscopy.
Question 3 of 5
A nurse is collecting data for an older adult client who has cystitis. Which of the following findings should the nurse expect?
Correct Answer: C,D,E
Rationale: Hematuria, confusion, and dysuria are expected findings in cystitis, indicating infection-related inflammation and altered mental status in older adults.
Question 4 of 5
A nurse in an urgent care facility is collecting data from a client who was stung by a wasp. Which of the following findings indicates the client is experiencing anaphylaxis?
Correct Answer: B
Rationale: Difficulty swallowing indicates airway obstruction from swelling, a life-threatening sign of anaphylaxis requiring urgent intervention.
Question 5 of 5
A nurse is collecting data about immunizations from a 65-year-old client who has no identified risk factors for disease. The nurse should identify the client's need for which of the following immunizations?
Correct Answer: D
Rationale: The herpes zoster vaccine is recommended for adults 65 and older to prevent shingles, a common concern in this age group.