ATI LPN
ATI PN Adult Med Surg 2020 with NGN Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has been receiving epoetin alfa in preparation for a hip arthroplasty. Which of the following findings indicate that the medication has been effective?
Correct Answer: A
Rationale: Epoetin alfa increases red blood cell production, raising hemoglobin. A level of 11 g/dL shows improvement. WBC, calcium, and PT are unrelated to its effects.
Question 2 of 5
A nurse is assisting with the care of a client who has a deep vein thrombosis and is receiving heparin therapy. Which of the following laboratory tests should the nurse monitor?
Correct Answer: C
Rationale: Heparin prolongs aPTT, which monitors therapeutic effect. Platelets assess bleeding risk, PT and INR are for warfarin.
Question 3 of 5
The nurse caring for a client reviews the medical record and determines the client is at risk for developing a potassium deficit because of which situation?
Correct Answer: D
Rationale: Nasogastric suction removes gastric secretions that contain potassium, leading to a loss of potassium from the body, which can cause hypokalemia. Addison's disease and tissue damage cause hyperkalemia, and uric acid levels are unrelated to potassium.
Question 4 of 5
A nurse is caring for a client who has just had a central venous catheter placed via the right subclavian vein. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Immobilizing the right arm prevents catheter dislodgement. Trendelenburg, arm exercises, and coughing increase dislodgement risk.
Question 5 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: C
Rationale: Fasting except water for 12 hours ensures a clear colon. Longer clear liquid diets, separate polyp procedures, and early enemas aren't standard.