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 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 2 of 5
A nurse is reinforcing teaching with the partner of a client who has contact precautions in place for methicillin-resistant Staphylococcus aureus (MRSA). Which of the following statements by the client's partner indicates an understanding of the teaching?
Correct Answer: A
Rationale: Hand washing after leaving prevents MRSA spread. Gowns are needed only for fluid contact, gloves can't be reused, and clients shouldn't leave during precautions.
Question 3 of 5
A nurse is collecting data about immunizations from a 65-year-old client who has no identified risk factors for disease. The nurse should identify the client's need for which of the following immunizations?
Correct Answer: B
Rationale: The herpes zoster vaccine is recommended for adults over 60 to prevent shingles. Polio vaccine is for specific risk groups, HPV is for younger individuals, and MMR is for those born after 1957 without immunity.
Question 4 of 5
A nurse is reinforcing teaching with a client about strategies to prevent hypertension. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: C
Rationale: Limiting sodium to 2,000 mg/day helps prevent hypertension. Fish intake, maintaining high BMI, and minimal exercise are less effective.
Question 5 of 5
A nurse is caring for a client who has a tracheostomy tube. Upon data collection, the nurse observes the client is restless and hears crackles in the lungs. Which of the following interventions should the nurse take?
Correct Answer: A
Rationale: Restlessness and lung crackles suggest secretions blocking the tracheostomy, requiring suctioning. Saline instillation, cuff checks, and humidification don't address acute obstruction.