ATI LPN
PN Adult Medical Surgical 2020 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has cancer and is experiencing breakthrough pain. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Opioids are effective for managing breakthrough cancer pain per prescription.
Question 2 of 5
A nurse is caring for a client who has dementia and is experiencing confusion. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Holiday decorations provide familiar cues, reducing disorientation in dementia.
Question 3 of 5
A charge nurse is observing a newly licensed nurse care for a client who is at risk for falls. Which of the following findings should the nurse identify as a risk factor for falls?
Correct Answer: D
Rationale: Wearing socks without non-skid soles increases slip risk, contributing to falls.
Question 4 of 5
A nurse is preparing to perform a sterile dressing change for a client who has a stage III pressure ulcer. Which of the following actions should the nurse plan to take?
Correct Answer: B
Rationale: Pain medication reduces discomfort during a painful dressing change.
Question 5 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 sign of opioid toxicity due to central nervous system depression affecting cardiac output.