ATI PN adult Medical Surgical 2020 with NGN Exam 3

Extract:

Question 1 of 5

A nurse is caring for a client who is postoperative following a right radical mastectomy. Which of the following actions should the nurse take to prevent the development of lymphedema?

A. Keep both arms below the level of the client's heart.B. Obtain blood pressure readings using the client's right arm.C. Use the client's left arm to obtain blood samples.D. Limit range of motion exercises with the affected arm.

Correct Answer: C

Rationale: Using the left arm for blood samples avoids pressure on the right arm's lymphatic channels, reducing lymphedema risk.

Question 2 of 5

A nurse is caring for a client who is 24 hours postoperative following abdominal surgery. The client received an opioid analgesic 1 hour ago and now reports a pain level of 2 on a scale of 0 to 10. Which of the following actions should the nurse take?

A. Administer an additional dose of pain medication.B. Maintain the client on bed rest.C. Apply a warm, moist compress to the incision area.D. Reposition the client.

Correct Answer: D

Rationale: Repositioning can alleviate discomfort at a low pain level, preventing complications.

Question 3 of 5

A nurse is caring for a client who has dementia and is experiencing confusion. Which of the following actions should the nurse take?

A. Discourage reminiscing about the past to minimize feelings of confusion.B. Use holiday decorations to provide orientation to the time of the year.C. Encourage multiple family members to visit the client at the same time.D. Ask open-ended questions that encourage the client to express their feelings.

Correct Answer: B

Rationale: Holiday decorations provide environmental cues, reducing confusion in dementia patients.

Question 4 of 5

A nurse in a provider's office is collecting data from a client one month following surgery for a new colostomy. Which of the following statements indicates the client is in the acceptance stage of grieving?

A. I have purchased a stoma cap I can use when needed.B. My partner empties my pouch for me every morning.C. I am embarrassed by the odor that comes from my colostomy.D. I miss going to my church meetings like I used to do.

Correct Answer: A

Rationale: Purchasing a stoma cap indicates proactive adaptation, reflecting acceptance of the colostomy.

Question 5 of 5

A nurse is preparing to administer heparin 15,000 units every 12 hr subcutaneously to a client who weighs 80 kg, Available is 10,000 units/mL How many mL should the nurse administer with each dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer: 1.5

Rationale: Calculation: 15,000 units ÷ 10,000 units/mL = 1.5 mL per dose.

ATI PN adult Medical Surgical 2020 with NGN Exam 3 | Nurselytic

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ATI LPN

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