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 total thyroidectomy for hyperthyroidism. Which of the following findings should the nurse identify as the priority?
Correct Answer: A
Rationale: A temperature of 39° C may indicate thyroid storm, a life-threatening condition requiring urgent intervention.
Question 2 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 lead to organ failure, making it the priority finding requiring immediate intervention.
Question 3 of 5
A nurse is reinforcing teaching with a client who is 24 hr postoperative following a total hip arthroplasty. Which of the following instructions should the nurse include in the teaching?
Correct Answer: B
Rationale: Sitting in a straight-backed chair maintains proper hip alignment and prevents excessive flexion or rotation, reducing the risk of prosthesis dislocation post-hip arthroplasty.
Question 4 of 5
A nurse is reviewing laboratory values of a client who has severe dyspnea. Which of the following laboratory values indicates heart failure?
Correct Answer: D
Rationale: An elevated brain natriuretic peptide (BNP) level (275 pg/mL) indicates heart failure, as BNP is released by the heart under stress from increased pressure or volume overload, unlike normal electrolyte levels.
Question 5 of 5
A nurse is assisting with the care of a client who is receiving IV fluid therapy. Which of the following findings should the nurse identify as an indication of fluid overload?
Correct Answer: A
Rationale: Distended neck veins indicate fluid overload, as excess volume increases venous pressure, a hallmark of hypervolemia.