ATI PN Adult Med Surg 2020 with NGN

Extract:

Question 1 of 5

A nurse is assisting with the care of a client who has a closed-chest tube drainage system. Which of the following actions should the nurse take?

A. Monitor for at least 150 mL of drainage every hour.B. Clamp the tube for 30 min every 8 hr.C. Pin the tubing to the client's bed sheets.D. Replace the unit when the drainage chamber is full.

Correct Answer: A

Rationale: Monitoring drainage detects complications like pneumothorax. Clamping risks pressure buildup, pinning causes traction, and units are replaced only if faulty.

Question 2 of 5

A nurse is reinforcing teaching with a client who is recovering from gastroenteritis and is beginning oral intake. Which of the following foods should the nurse recommend?

A. Orange juiceB. Cream of broccoli soupC. Lime ice popsicleD. Vanilla pudding

Correct Answer: C

Rationale: Lime ice popsicles are clear, hydrating, and stomach-friendly. Orange juice is acidic, and dairy-based soup and pudding may worsen symptoms.

Question 3 of 5

A nurse is reinforcing teaching with a client who has a new prescription for nitroglycerin sublingual tablets. Which of the following instructions should the nurse include?

A. Take up to three tablets 5 minutes apart if chest pain occurs.B. Store the tablets in a dark, airtight container.C. Swallow the tablet with a full glass of water.D. Keep the tablets in the refrigerator to maintain potency.

Correct Answer: A

Rationale: Up to three nitroglycerin tablets can be taken 5 minutes apart for chest pain. They're stored in dark containers, not swallowed, and don't need refrigeration.

Question 4 of 5

A nurse is caring for a client who has a distal radius fracture with a short arm cast applied. Which of the following actions should the nurse take?

A. Use a hair dryer to blow hot air into the cast to relieve itching.B. Perform neurovascular checks of the affected extremity every 2 hr.C. Position the fractured arm below the level of the client's heart.D. Immobilize the client's fingers using a hand splint.

Correct Answer: B

Rationale: Neurovascular checks every 2 hours monitor for complications like compartment syndrome. Hot air risks burns, lowering the arm increases swelling, and finger splints aren't needed.

Question 5 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?

A. Elevate the head of the client's bed for 1 hr after the feeding.B. Administer the feeding solution at a cold temperature.C. Rotate the jejunostomy tube once per dayD. Flush the tube with 90 mL of sterile water before and after the feeding.

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.

ATI PN Adult Med Surg 2020 with NGN | Nurselytic

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ATI LPN

ATI LPN