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 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 complication requiring urgent intervention.
Question 2 of 5
A nurse is reinforcing teaching with a client who has a new ileostomy. Which of the following statements by the client indicates a need for further teaching?
Correct Answer: D
Rationale: Expecting a pale and dry stoma indicates a misunderstanding, as a healthy stoma should be pink and moist, signaling further teaching is needed.
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 reinforcing teaching about liquid iron supplements with a client who has anemia. Which of the following information should the nurse include in the teaching?
Correct Answer: C
Rationale: Taking iron supplements with food reduces gastric distress, improving tolerance and adherence to the treatment regimen.
Question 5 of 5
A nurse is reinforcing teaching with a client who wants to lose 0.9 kg (2 lb) of body fat per week. The nurse knows that 0.45 kg (1 lb) of body fat is equal to 3,500 calories. The nurse should instruct the client to reduce his daily caloric intake by how many calories?
Correct Answer: A
Rationale:
To lose 2 lb per week, a 7,000-calorie deficit is needed (3,500 x 2). Dividing by 7 days gives a daily reduction of 1,000 calories, which is a safe and effective approach.