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 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.
Question 2 of 5
A nurse is reinforcing teaching with a client who has type 2 diabetes mellitus and a new prescription for metformin. Which of the following instructions should the nurse include in the teaching?
Correct Answer: B
Rationale: Reporting muscle pain immediately is crucial, as it may indicate lactic acidosis, a rare but serious metformin side effect.
Question 3 of 5
A nurse is reinforcing teaching with a client about testicular self-examination. Which of the following instructions should the nurse include?
Correct Answer: D
Rationale: Rolling the testes between the thumb and fingers allows detection of abnormalities, a key step in testicular self-examination.
Question 4 of 5
A nurse is assisting with the care of a client who has a prescription for wrist restraints. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Ensuring one finger fits between the restraint and skin prevents excessive tightness, reducing the risk of impaired circulation or skin damage.
Question 5 of 5
A nurse is collecting data from a client who has a prescription for furosemide. Which of the following findings should the nurse identify as an adverse effect of the medication?
Correct Answer: C
Rationale: Furosemide, a diuretic, can cause hypotension due to fluid loss, an adverse effect requiring monitoring and reporting.