ATI LPN
ATI PN Adult Medical Surgical 2020 with NGN Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is postoperative following a cholecystectomy. Which of the following actions should the nurse take to promote respiratory function?
Correct Answer: A
Rationale: Encouraging the use of an incentive spirometer promotes lung expansion and prevents atelectasis, improving respiratory function post-cholecystectomy.
Question 2 of 5
A nurse is providing care for a client who has hemophilia and is bleeding from a small laceration on his arm. After applying a sterile dressing, which of the following actions should the nurse take next?
Correct Answer: A
Rationale: Maintaining direct pressure promotes clot formation in hemophilia, where clotting is impaired, to control bleeding effectively.
Question 3 of 5
A nurse is collecting data from a client who had a left hemispheric stroke. Which of the following findings should the nurse report to the provider immediately?
Correct Answer: D
Rationale: A change in pupil size may indicate increased intracranial pressure, a life-threatening stroke complication requiring immediate reporting.
Question 4 of 5
A nurse is monitoring a client who is undergoing a blood transfusion of packed RBCs. The nurse should recognize that which of the following findings indicates fluid overload?
Correct Answer: A
Rationale: Dyspnea indicates fluid overload during a transfusion, as excess volume can lead to pulmonary congestion, requiring immediate action.
Question 5 of 5
A nurse is reinforcing teaching with a client who has osteoporosis. Which of the following instructions should the nurse include?
Correct Answer: D
Rationale: Taking vitamin D supplements enhances calcium absorption, strengthening bones and reducing fracture risk in osteoporosis.