ATI PN adult Medical Surgical 2020 with NGN Exam 3

Extract:

Question 1 of 5

A nurse is assisting with the plan of care for a client who has aspiration pneumonia and hypoxia. Which of the following actions should the nurse plan to take?

A. Implement contact precautions.B. Apply petroleum jelly to the client's nares.C. Maintain the client in a supine position.D. Initiate fall precautions.

Correct Answer: D

Rationale: Initiating fall precautions is important for safety, as hypoxia can cause confusion or weakness, increasing fall risk.

Question 2 of 5

A nurse is reinforcing teaching with a client who has diabetes mellitus about reducing the risk for a stroke. Which of the following statements by the client indicates an understanding of the teaching?

A. I can decrease my risk for a stroke by losing excess weight.B. My provider might prescribe a glucocorticoid regimen to decrease my risk for a stroke.C. My risk for a stroke increases if my HbA1c level is 6 percent or less.D. Having a total cholesterol level below 200 mg/dL increases my risk for a stroke.

Correct Answer: A

Rationale: Losing excess weight reduces stroke risk, particularly in individuals with diabetes.

Question 3 of 5

A nurse is reinforcing teaching with a client who is 24 hours postoperative following a total hip arthroplasty. Which of the following instructions should the nurse include in the teaching?

A. Sit in a straight-backed chair.B. Cleanse the surgical incision with hydrogen peroxide.C. Perform range of motion by adducting the hip.D. Apply moist heat to the incision while in bed.

Correct Answer: A

Rationale: Sitting in a straight-backed chair maintains alignment, preventing hip dislocation.

Question 4 of 5

A nurse is reinforcing teaching with a client who is scheduled for a colonoscopy. Which of the following client statements indicates an understanding of the procedure?

A. I plan to eat a light breakfast the morning of the procedure.B. I should call the doctor if I feel bloated after the procedure.C. I can expect to have a sore throat from the breathing tube.D. I will need to make arrangements for a ride home.

Correct Answer: D

Rationale: It is important for clients to arrange transportation home after a colonoscopy due to the sedatives used during the procedure.

Question 5 of 5

A nurse in a long-term care facility is collecting data from an older adult client. Which of the following findings indicates that the client might be dehydrated?

A. Decrease in pulse rateB. Recent onset of confusionC. Cool, clammy skinD. Increase in blood pressure

Correct Answer: B

Rationale: Confusion in older adults can be a sign of dehydration, as it affects cognitive function.

ATI PN adult Medical Surgical 2020 with NGN Exam 3 | Nurselytic

Nurselytic

ATI LPN

ATI LPN