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 receiving a blood transfusion. Which of the following actions should the nurse take if a transfusion reaction is suspected?
Correct Answer: A
Rationale: Stopping the transfusion prevents further reaction. Increasing the rate worsens the reaction, saline bolus isn't first, and continuing risks harm.
Question 2 of 5
A nurse is caring for a client who has a new diagnosis of type 2 diabetes mellitus. Which of the following findings should the nurse report to the provider?
Correct Answer: D
Rationale: Increased thirst and urination suggest hyperglycemia, requiring immediate reporting. Fasting glucose and weight gain are less urgent, and HbA1c reflects long-term control.
Question 3 of 5
A nurse is reinforcing teaching with a client who has a new prescription for warfarin. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: B
Rationale: Avoiding contact sports reduces bleeding risk with warfarin. Spinach affects INR, ibuprofen increases bleeding, and doubling doses is unsafe.
Question 4 of 5
A nurse is caring for a client who is postoperative following a femoral-popliteal bypass. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Checking pedal pulses monitors circulation post-bypass. Elevation risks ischemia, aspirin dosing depends on orders, and warm compresses increase infection risk.
Question 5 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.