ATI LPN
ATI PN Adult Medical Surgical 2020 with NGN Questions
Extract:
Question 1 of 5
A nurse is assisting with the care of a client who is receiving IV fluid therapy. Which of the following findings should the nurse identify as an indication of fluid overload?
Correct Answer: A
Rationale: Distended neck veins indicate fluid overload, as excess volume increases venous pressure, a hallmark of hypervolemia.
Question 2 of 5
A nurse is providing care for a client who has hemophilia and is bleeding from a small laceration on his arm. After applying a sterile dressing, which of the following actions should the nurse take next?
Correct Answer: A
Rationale: Maintaining direct pressure promotes clot formation in hemophilia, where clotting is impaired, to control bleeding effectively.
Question 3 of 5
A nurse is collecting data from a client about her current pain status. Which of the following questions should the nurse ask to determine the quality of the client's pain?
Correct Answer: B
Rationale: Asking 'What does your pain feel like?' determines the quality of pain, such as whether it is sharp, dull, or burning, aiding in accurate assessment.
Question 4 of 5
A nurse is contributing to the plan of care for a client who reports difficulty eating due to chronic arthritis. Which of the following interventions should the nurse include in the plan?
Correct Answer: D
Rationale: Foam handles improve grip on utensils, enhancing self-feeding ability for clients with arthritis.
Question 5 of 5
A nurse is reinforcing teaching with a client who has angina. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: B
Rationale: Notifying emergency response for sudden jaw pain shows understanding, as jaw pain can be a symptom of a heart attack, requiring immediate attention.