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 has a history of heart failure and is receiving a loop diuretic. Which of the following findings should the nurse report to the provider?
Correct Answer: A
Rationale: Weight gain of 1 kg in 24 hours suggests fluid retention, worsening heart failure. Normal potassium, BP, and heart rate don't require reporting.
Question 2 of 5
A nurse is caring for a client who has a sulfa allergy. Which of the following prescriptions should the nurse clarify with the provider?
Correct Answer: A
Rationale: Celecoxib may cross-react with sulfa allergies, requiring clarification. Atorvastatin, prednisone, and digoxin are safe.
Question 3 of 5
A nurse is caring for a client who is 4 hr postoperative following an abdominal surgery and notes that the client's abdominal incision is open and the internal organs are protruding. After contacting the rapid response team, which of the following actions should the nurse take next?
Correct Answer: C
Rationale: A moist saline dressing protects protruding organs, preventing damage until surgery. Vital signs, positioning, and bed elevation are secondary.
Question 4 of 5
A nurse is caring for a client who is 24 hr postoperative following abdominal surgery. The client received an opioid analgesic 1 hr ago and now reports a pain level of 2 on a scale of 0 to 10. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Repositioning addresses mild pain (2/10) non-pharmacologically. Bed rest risks complications, warm compresses increase infection risk, and more medication isn't needed.
Question 5 of 5
A nurse is caring for a client who is experiencing muscle spasms and has a new prescription for an aquathermia pad. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Covering the aquathermia pad prevents burns. Sterile water isn't needed, 45-minute application risks injury, and pins can puncture the pad.