ATI LPN
ATI PN Adult Medical Surgical 2020 with NGN Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has a prescription for warfarin and a new order to start ceftriaxone. Which of the following laboratory values should the nurse monitor?
Correct Answer: A
Rationale: Warfarin's anticoagulant effect, monitored via prothrombin time, can be potentiated by ceftriaxone, increasing bleeding risk.
Question 2 of 5
A nurse is collecting data from a client who reports abdominal pain and has a history of appendicitis. Which of the following findings should the nurse report to the provider as a priority?
Correct Answer: D
Rationale: A rigid, board-like abdomen indicates peritonitis, a life-threatening complication of appendicitis requiring immediate surgical intervention.
Question 3 of 5
A nurse is assisting with the care of a client who is receiving IV fluid therapy. Which of the following findings should the nurse identify as an indication of fluid overload?
Correct Answer: A
Rationale: Distended neck veins indicate fluid overload, as excess volume increases venous pressure, a hallmark of hypervolemia.
Question 4 of 5
A nurse is obtaining a medication history from a client who is to start taking nitroglycerin for chest discomfort with activity. Which of the following medications should the nurse instruct the client to avoid taking within 24 hours of using nitroglycerin?
Correct Answer: D
Rationale: Sildenafil can cause severe hypotension when taken with nitroglycerin, necessitating avoidance within 24 hours.
Question 5 of 5
A nurse is reinforcing teaching with a client who has a new prescription for levothyroxine. Which of the following instructions should the nurse include?
Correct Answer: D
Rationale: Taking levothyroxine on an empty stomach ensures optimal absorption, improving its effectiveness in treating hypothyroidism.