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 cardiomyopathy and is experiencing sensory overload. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Small, frequent care sessions minimize sensory overload for the client.
Question 2 of 5
A nurse is collecting data from a client who has iron deficiency anemia. Which of the following locations should the nurse monitor for the clinical manifestation of cheilosis?
Correct Answer: B
Rationale: Cheilosis, or angular cheilitis, affects the corners of the mouth, monitored at location B.
Question 3 of 5
A nurse is reviewing the medical record of a client who reports his urine is red orange. The nurse should identify which of the following medications can cause this adverse effect?
Correct Answer: B
Rationale: Rifampin, an antibiotic commonly used to treat tuberculosis, can cause red-orange discoloration of bodily fluids, including urine.
Question 4 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 5 of 5
A nurse is reinforcing teaching with a client who is being discharged following a prostatectomy. Which of the following statements should the nurse include in the teaching? (Select all that apply.)
Correct Answer: B, D, E
Rationale: Avoiding heavy lifting (
B), showering instead of tub baths (
D), and monitoring for blood in urine (E) are appropriate post-prostatectomy instructions to prevent complications.