ATI LPN
ATI PN adult Medical Surgical 2020 with NGN Exam 3 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has a closed head injury. In which of the following positions should the nurse place the client?
Correct Answer: A
Rationale: SemiFowler's position reduces intracranial pressure in clients with closed head injuries.
Question 2 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?
Correct Answer: D
Rationale: Initiating fall precautions is important for safety, as hypoxia can cause confusion or weakness, increasing fall risk.
Question 3 of 5
A nurse is collecting data from a client who is experiencing opioid toxicity. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Hypotension is a common finding in opioid toxicity due to its depressant effects on the autonomic nervous system.
Question 4 of 5
A nurse is reinforcing teaching with an assistive personnel (AP) about a client who has pertussis. Which of the following instructions should the nurse include in the teaching?
Correct Answer: D
Rationale: An N95 mask provides a higher level of respiratory protection compared to a simple face mask, filtering out at least 95% of airborne particles, including large respiratory droplets that can carry the pertussis bacteria.
Question 5 of 5
A nurse in a provider's office is collecting data from a client one month following surgery for a new colostomy. Which of the following statements indicates the client is in the acceptance stage of grieving?
Correct Answer: A
Rationale: Purchasing a stoma cap indicates proactive adaptation, reflecting acceptance of the colostomy.