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 leukemia. Which of the following findings is the highest priority for the nurse to report to the provider?
Correct Answer: B
Rationale: An elevated temperature in leukemia indicates possible infection, critical in an immunocompromised client.
Question 2 of 5
A nurse is reviewing the ABG values of a client who has pneumonia. Which of the following findings indicates the client is developing respiratory acidosis?
Correct Answer: A
Rationale: A PaCO2 of 55 mm Hg indicates respiratory acidosis due to carbon dioxide retention.
Question 3 of 5
A nurse is caring for a client who has a prescription for propranolol for the treatment of atrial fibrillation. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Withholding propranolol if systolic blood pressure is below 90 mm Hg prevents hypotension, a critical safety measure.
Question 4 of 5
A nurse is assisting in the care of a client who had an ischemic stroke. Which of the following observations by the nurse indicates a need for an occupational therapy referral?
Correct Answer: D
Rationale: Exhaustion during ADLs like brushing teeth indicates a need for occupational therapy.
Question 5 of 5
A nurse is assisting with the plan of care for a client who has aspiration pneumonia and hypoxia. Which of the following actions should the nurse plan to take?
Correct Answer: D
Rationale: Initiating fall precautions is important for safety, as hypoxia can cause confusion or weakness, increasing fall risk.