ATI LPN
ATI PN Adult Medical Surgical 2020 with NGN II Questions
Extract:
Question 1 of 5
A nurse is assisting in the plan of care for a client who has constipation after receiving opioid medication for incisional pain. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: Auscultating bowel sounds first assesses bowel motility, guiding subsequent interventions for opioid-induced constipation.
Question 2 of 5
A nurse is reinforcing teaching with a client who has anemia and has a prescription for ferrous sulfate. Which of the following foods should the nurse recommend that the client consume to increase the absorption of this medication?
Correct Answer: B
Rationale: Raw oranges, high in vitamin C, enhance iron absorption by reducing it to a more soluble form.
Question 3 of 5
A nurse is assisting with care for a client who received a tuberculin skin test 72 hours ago. When collecting data from the test site, which of the following findings indicates a need for further testing?
Correct Answer: A
Rationale: A palpable induration greater than 10 mm indicates possible tuberculosis exposure, necessitating further diagnostic testing.
Question 4 of 5
A nurse is reinforcing teaching with a client who is 24 hr postoperative following a total hip arthroplasty. Which of the following instructions should the nurse include in the teaching?
Correct Answer: B
Rationale: Sitting in a straight-backed chair maintains proper hip alignment and prevents excessive flexion, reducing the risk of prosthesis dislocation.
Question 5 of 5
A nurse is caring for a client who is experiencing muscle spasms and has a new prescription for an aquathermia pad. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Covering the aquathermia pad prevents burns or irritation by avoiding direct skin contact, ensuring safe application.