ATI LPN
ATI PN Adult Medical Surgical 2020 with NGN Questions
Extract:
Question 1 of 5
A nurse is assisting with the plan of care for a client who has botulism poisoning. Which of the following interventions should the nurse include in the plan?
Correct Answer: D
Rationale: Monitoring for muscle paralysis is critical in botulism, as the toxin causes flaccid paralysis, affecting respiratory function.
Question 2 of 5
A nurse is reinforcing teaching with a client who will undergo a colonoscopy the following week. Which of the following instructions should the nurse include?
Correct Answer: D
Rationale: Instructing the client to avoid eating or drinking anything except water for 12 hours before the procedure ensures a clear colon for optimal visualization during the colonoscopy.
Question 3 of 5
A nurse is assisting with the care of a client who has a chest tube in place following a thoracotomy. Which of the following findings should the nurse report to the provider immediately?
Correct Answer: A
Rationale: Continuous bubbling in the water seal chamber indicates an air leak, a critical issue requiring immediate reporting to prevent complications.
Question 4 of 5
A nurse is caring for a client who is experiencing muscle spasms and has a new prescription for an aquathermia pad. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Covering the aquathermia pad prevents burns or irritation, ensuring safe application for muscle spasm relief.
Question 5 of 5
A nurse has received change-of-shift report for four clients. Which of the following clients should the nurse attend to first?
Correct Answer: A
Rationale: Wound dehiscence is a surgical emergency requiring immediate attention to prevent evisceration or infection.