ATI LPN
ATI PN Adult Medical Surgical 2020 with NGN II 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, as botulism toxin causes flaccid paralysis, affecting respiratory and motor functions.
Question 2 of 5
A nurse is reinforcing teaching with a client who wants to lose 0.9 kg (2 lb) of body fat per week. The nurse knows that 0.45 kg (1 lb) of body fat is equal to 3,500 calories. The nurse should instruct the client to reduce his daily caloric intake by how many calories?
Correct Answer: A
Rationale:
To lose 2 lb per week, a 7,000-calorie deficit is needed (3,500 x 2). Dividing by 7 days gives a daily reduction of 1,000 calories, which is a safe and effective approach.
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 a need for further teaching?
Correct Answer: D
Rationale: Taking an antacid with warfarin can alter its absorption, indicating a need for further teaching to ensure proper administration.
Question 4 of 5
A nurse in an urgent care facility is collecting data from a client who was stung by a wasp. Which of the following findings indicates the client is experiencing anaphylaxis?
Correct Answer: B
Rationale: Difficulty swallowing indicates airway obstruction from swelling, a life-threatening sign of anaphylaxis requiring urgent intervention.
Question 5 of 5
A nurse is monitoring a client who is undergoing a blood transfusion of packed RBCs. The nurse should recognize that which of the following findings indicates fluid overload?
Correct Answer: A
Rationale: Dyspnea indicates fluid overload during transfusion, as excess volume can lead to pulmonary congestion, requiring immediate intervention.