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 coronary artery bypass graft and has a prescription for propranolol. The nurse should monitor the client for which of the following adverse effects?
Correct Answer: B
Rationale: Propranolol, a beta-blocker, can cause hypotension by reducing heart rate and cardiac output, requiring careful monitoring.
Question 2 of 5
A nurse is reinforcing discharge teaching with a client who had an abdominal hysterectomy 2 days ago. Which of the following instructions should the nurse include in the teaching?
Correct Answer: D
Rationale: Taking a shower prevents infection by avoiding soaking the incision, promoting healing after an abdominal hysterectomy.
Question 3 of 5
A nurse is caring for a client who has partial-thickness burns on 50% of his body and is receiving total parenteral nutrition. The nurse should actively monitor the client for which of the following?
Correct Answer: A
Rationale:
Total parenteral nutrition can cause hyperglycemia due to high glucose content, requiring regular monitoring of serum glucose levels to manage potential complications.
Question 4 of 5
A nurse is reinforcing teaching with a client who has a new prescription for warfarin. Which of the following statements by the client indicates a need for further teaching?
Correct Answer: D
Rationale: Taking an antacid with warfarin can alter its absorption, indicating a need for further teaching to ensure proper administration.
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.