ATI PN Adult Med Surg 2020 with NGN | Nurselytic

Questions 106

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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 total thyroidectomy for hyperthyroidism. Which of the following findings should the nurse identify as the priority?

Correct Answer: D

Rationale: An elevated temperature of 39°C suggests infection, a critical postoperative complication requiring immediate reporting. Drainage, normal calcium, and sore throat are expected findings.

Question 2 of 5

A nurse is caring for a client who is receiving mechanical ventilation. Which of the following actions should the nurse take to prevent ventilator-associated pneumonia?

Correct Answer: A

Rationale: Oral care every 4 hours reduces bacterial growth, preventing pneumonia. Supine positioning increases risk, suctioning frequency varies, and humidification is needed.

Question 3 of 5

A nurse in a health clinic is collecting data from an older adult client. Which of the following information in the client's history increases her risk for osteoporosis?

Correct Answer: C

Rationale: Lactose intolerance limits calcium intake, increasing osteoporosis risk. Walking, gardening, and moderate wine consumption support bone health.

Question 4 of 5

A nurse is caring for a client who is postoperative following a mastectomy. Which of the following actions should the nurse take to promote comfort?

Correct Answer: D

Rationale: Elevating the arm on a pillow reduces edema and promotes comfort. Sleeping on the affected side, warm compresses, and lowering the arm worsen swelling.

Question 5 of 5

A nurse is reinforcing teaching with a client who will undergo a colonoscopy the following week. Which of the following instructions should the nurse include?

Correct Answer: C

Rationale: Fasting except water for 12 hours ensures a clear colon. Longer clear liquid diets, separate polyp procedures, and early enemas aren't standard.

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