ATI LPN
ATI PN Adult Medical Surgical 2020 with NGN II Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is at risk for anaphylaxis due to bee stings. When reinforcing teaching about the use of an automatic epinephrine injector, which of the following actions is the priority?
Correct Answer: B
Rationale: Informing the client to seek medical attention following administration of the injection is the priority because it is a life-saving action. Epinephrine can temporarily alleviate anaphylaxis symptoms, but its effects may wear off, requiring further medical intervention to prevent complications or recurrence.
Question 2 of 5
A nurse is caring for a client who is experiencing muscle spasms and has a new prescription for an aquathermia pad. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Covering the aquathermia pad prevents burns or irritation by avoiding direct skin contact, ensuring safe application.
Question 3 of 5
A nurse is reviewing vital signs obtained by an assistive personnel on a group of clients. The previous vital signs for each of the clients were obtained 4 hr earlier. Which of the following changes should the nurse identify as the priority finding?
Correct Answer: C
Rationale: A blood pressure drop to 86/50 mm Hg indicates hypotension, which can compromise tissue perfusion and requires immediate intervention to prevent organ damage.
Question 4 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: D
Rationale: Suctioning removes secretions, improving ventilation and addressing restlessness and crackles in the lungs.
Question 5 of 5
A nurse is caring for a client who is dying and whose family is at the bedside. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Applying moisturizing lotion enhances comfort and quality of life for the dying client, addressing dry skin and providing care.