ATI LPN
ATI PN Adult Medical Surgical 2020 with NGN II Questions
Extract:
Question 1 of 5
A nurse is assisting with discharge teaching for a client who requires oropharyngeal suctioning at home. The nurse should ensure that which of the following equipment is available for use at home?
Correct Answer: A
Rationale: A Yankauer catheter is essential for effective oropharyngeal suctioning at home, allowing removal of secretions from the mouth and throat.
Question 2 of 5
A nurse is caring for a client who is receiving peritoneal dialysis. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Covering the pad prevents burns or irritation by avoiding direct skin contact, ensuring safe application during peritoneal dialysis.
Question 3 of 5
A nurse is reinforcing teaching with a client who has type 2 diabetes mellitus and a new prescription for metformin. Which of the following instructions should the nurse include in the teaching?
Correct Answer: B
Rationale: Reporting muscle pain immediately is crucial, as it may indicate lactic acidosis, a rare but serious metformin side effect.
Question 4 of 5
A nurse is reinforcing teaching with a client who has a new prescription for warfarin. Which of the following statements by the client indicates a need for further teaching?
Correct Answer: D
Rationale: Taking an antacid with warfarin can alter its absorption, indicating a need for further teaching to ensure proper administration.
Question 5 of 5
A nurse enters a client's room and sees smoke coming from the trash can next to the client's bed. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: Removing the client from the room ensures their immediate safety from smoke and fire exposure, following the RACE protocol.