ATI LPN
ATI PN Adult Med Surg 2020 with NGN Questions
Extract:
Question 1 of 5
A nurse is assisting with care for a client who received a tuberculin skin test 72 hr ago. When collecting data from the test site, which of the following findings indicates a need for further testing?
Correct Answer: D
Rationale: Induration over 10 mm suggests TB exposure, requiring further testing. Redness, ecchymosis, and tenderness don't indicate a positive test.
Question 2 of 5
A nurse is reinforcing teaching with a client who has herpes simplex virus type 2. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: B
Rationale: Stress can trigger HSV-2 lesion recurrence. The virus can spread beyond genitals, remains contagious without lesions, and acyclovir doesn't prevent transmission.
Question 3 of 5
A nurse is caring for a client who has a tracheostomy tube. Upon data collection, the nurse observes the client is restless and hears crackles in the lungs. Which of the following interventions should the nurse take?
Correct Answer: A
Rationale: Restlessness and lung crackles suggest secretions blocking the tracheostomy, requiring suctioning. Saline instillation, cuff checks, and humidification don't address acute obstruction.
Question 4 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: C
Rationale: Oranges, high in ascorbic acid, enhance iron absorption. Potatoes, oatmeal, and cheese don't significantly aid absorption.
Question 5 of 5
A nurse is caring for a client who is at risk for anaphylaxis due to bee stings. When reinforcing teaching about the use of an automatic epinephrine injector, which of the following actions is the priority?
Correct Answer: C
Rationale: Seeking medical attention after epinephrine use is critical, as anaphylaxis requires further care. Reviewing signs, storage, and demonstration are secondary.