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 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 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: D
Rationale: The herpes zoster vaccine is recommended for adults 65 and older to prevent shingles, a common concern in this age group.
Question 4 of 5
A nurse is caring for a client who has pneumonia with dyspnea. The client's ABG results are pH 7.30, PaCO2 50 mm Hg, HCO3 26 mEq/L. The nurse should recognize that the client has which of the following acid-base imbalances?
Correct Answer: D
Rationale: The ABG results show a low pH (7.30) and high PaCO2 (50 mm Hg), indicating respiratory acidosis, which aligns with impaired gas exchange and CO2 retention due to pneumonia.
Question 5 of 5
A nurse is collecting data from a client about her current pain status. Which of the following questions should the nurse ask to determine the quality of the client's pain?
Correct Answer: B
Rationale: Asking 'What does your pain feel like?' determines the quality of pain, providing insight into its nature, such as sharp or burning.