ATI LPN
ATI PN Adult Med Surg 2020 with NGN Questions
Extract:
Question 1 of 5
A nurse is assisting with the care of a client who is postoperative following a craniotomy. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: A 30-degree head elevation reduces intracranial pressure post-craniotomy. Flat positioning increases pressure, headache checks are more frequent, and coughing risks pressure spikes.
Question 2 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 3 of 5
A nurse is caring for a client who is receiving intermittent bolus enteral feedings through a jejunostomy tube. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Elevating the bed reduces aspiration risk during jejunostomy feedings. Cold feedings cause discomfort, rotating the tube risks irritation, and excessive flushing isn't standard.
Question 4 of 5
A nurse is caring for a client who has a new prescription for furosemide. Which of the following laboratory values should the nurse monitor?
Correct Answer: B
Rationale: Furosemide causes potassium loss, risking hypokalemia. Sodium, calcium, and magnesium are less affected.
Question 5 of 5
A nurse is reinforcing teaching with a client about strategies to prevent hypertension. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: C
Rationale: Limiting sodium to 2,000 mg/day helps prevent hypertension. Fish intake, maintaining high BMI, and minimal exercise are less effective.