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 deep vein thrombosis and is receiving heparin therapy. Which of the following laboratory tests should the nurse monitor?
Correct Answer: C
Rationale: Heparin prolongs aPTT, which monitors therapeutic effect. Platelets assess bleeding risk, PT and INR are for warfarin.
Question 2 of 5
A nurse is caring for a client who has partial-thickness burns on 50% of his body and is receiving total parenteral nutrition. The nurse should actively monitor the client for which of the following?
Correct Answer: B
Rationale: TPN's high glucose content risks hyperglycemia, requiring monitoring. Calcium, bowel sounds, and abdominal pain are less directly related.
Question 3 of 5
A nurse is reinforcing teaching with a client who has a BMI of 32 and wants to lose weight. Which of the following statements should the nurse make to promote the client's weight loss?
Correct Answer: A
Rationale: Reducing 500 calories daily promotes safe weight loss. High fat, refined grains, and food rewards hinder progress.
Question 4 of 5
A nurse is reviewing laboratory values of a client who has severe dyspnea. Which of the following laboratory values indicates heart failure?
Correct Answer: A
Rationale: Elevated BNP (275 pg/mL) indicates heart failure due to fluid overload. Normal calcium, sodium, and potassium don't confirm heart failure.
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.