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 peritoneal dialysis. Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: Cloudy dialysate suggests infection, requiring immediate reporting. Clear output, weight loss, and no pain are expected.
Question 2 of 5
A nurse is assisting in the care of a client who had an ischemic stroke. Which of the following observations by the nurse indicates a need for an occupational therapy referral?
Correct Answer: A
Rationale: Exhaustion during daily tasks like brushing teeth indicates a need for occupational therapy to improve function. Coughing, walking, and reading suggest other referrals.
Question 3 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 4 of 5
A nurse is reinforcing teaching with a client who has chronic kidney disease about dietary modifications. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: B
Rationale: Limiting potassium prevents hyperkalemia in kidney disease. Protein is restricted, dairy increases phosphorus, and grains don't address key restrictions.
Question 5 of 5
A nurse is reviewing vital signs obtained by an assistive personnel on a group of clients. The previous vital signs for each of the clients were obtained 4 hours earlier. Which of the following changes should the nurse identify as the priority finding?
Correct Answer: C
Rationale: A drop to 86/50 mm Hg suggests shock or hemorrhage, requiring urgent attention. Fever, respiratory rate, and heart rate changes are less critical.