ATI LPN
ATI PN Fundamentals 2020 NGN Exam 1 Questions
Extract:
Question 1 of 5
A nurse is assisting with the admission of a client to a medical-surgical unit. Which of the following findings should the nurse identify as an indication that the client is malnourished?
Correct Answer: C
Rationale: Pallor with scaly skin can be indicative of malnourishment. Malnourished individuals may not receive adequate nutrients for skin health, leading to dryness and scaling. Pallor can result from anemia, which can be associated with poor nutritional intake.
Question 2 of 5
A nurse is collecting data from a client who is 1 day postoperative following abdominal surgery. Which of the following findings is the priority for the nurse to report to the provider?
Correct Answer: D
Rationale: Tenderness and warmth in the calf are the priority findings to report. These symptoms raise concern about the possibility of deep vein thrombosis (DVT), a serious complication after surgery. DVT can lead to a pulmonary embolism, a life-threatening condition, requiring immediate assessment.
Question 3 of 5
A nurse is reinforcing teaching with a client who has hypertension and a prescription to measure their blood pressure daily. Which of the following client statements indicates an understanding of the teaching?
Correct Answer: C
Rationale: I should remove constrictive clothing prior to measuring my blood pressure.' is correct as constrictive clothing can affect blood flow and lead to inaccurate readings.
Question 4 of 5
A nurse is caring for a client who is postoperative following a mastectomy. The client states, 'I can barely look at myself in the mirror.' The nurse should identify that the client is experiencing which of the following?
Correct Answer: D
Rationale: The client's reaction reflects actual loss of a breast, a tangible change affecting self-image, unlike the other grief types.
Question 5 of 5
A nurse is planning to administer medication to a client who has a Clostridium difficile infection. Which of the following actions should the nurse plan to take to prevent the transmission of this infection to others?
Correct Answer: B
Rationale: Removing the gown in the client's room contains C. difficile spores, preventing spread, as they resist alcohol-based rubs and aren't airborne.