ATI LPN
ATI PN Adult Med Surg 2020 with NGN Questions
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?
Correct Answer: D
Rationale: Using the left arm for blood samples avoids trauma to the right arm, reducing lymphedema risk. Right arm BP, limited exercise, and low arm positioning increase risk.
Question 2 of 5
A nurse is caring for a client who is 1 day postoperative following an appendectomy. Which of the following findings should the nurse report?
Correct Answer: C
Rationale: Red streaks suggest infection, requiring reporting. Normal temperature, expected drainage, and hypoactive bowels are less urgent.
Question 3 of 5
A nurse in an urgent care facility is collecting data from a client who was stung by a wasp. Which of the following findings indicates the client is experiencing anaphylaxis?
Correct Answer: B
Rationale: Difficulty swallowing indicates airway involvement in anaphylaxis, a life-threatening condition. Tinnitus, hypertension, and rashes are less specific.
Question 4 of 5
A nurse is caring for a client who has just had a central venous catheter placed via the right subclavian vein. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Immobilizing the right arm prevents catheter dislodgement. Trendelenburg, arm exercises, and coughing increase dislodgement risk.
Question 5 of 5
A nurse is collecting data from a client who is experiencing opioid toxicity. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: Opioid toxicity causes respiratory depression and hypotension. Diaphoresis and chest pain are unrelated, and pupils constrict (miosis), not dilate.