ATI LPN
PN Adult Medical Surgical 2020 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: B
Rationale: Induration over 10 mm suggests TB exposure, warranting further tests.
Question 2 of 5
A nurse in a long-term care facility is reinforcing teaching about pain control with a client who has terminal cancer. Which of the following information should the nurse include?
Correct Answer: A
Rationale: Around-the-clock analgesia maintains steady pain relief, preventing breakthrough pain.
Question 3 of 5
A nurse is reinforcing teaching with a client who has gastroesophageal reflux disease (GERD). Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: D
Rationale: Waiting 2 hours before lying down reduces reflux by allowing gastric emptying.
Question 4 of 5
A nurse is reviewing the medical record of a client who reports his urine is red-orange. The nurse should identify that which of the following medications can cause this adverse effect?
Correct Answer: C
Rationale: Rifampin is known to cause red-orange discoloration of urine and other body fluids.
Question 5 of 5
A nurse is assisting with the care of a client who is receiving penicillin via intermittent IV bolus. Which of the following should the nurse recognize as a clinical manifestation of anaphylaxis?
Correct Answer: D
Rationale: Pruritus is a common sign of anaphylaxis, often with hives or rash.