ATI LPN
PN Adult Medical Surgical 2020 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is receiving a unit of packed RBCs. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Monitoring vital signs hourly detects early signs of transfusion reactions.
Question 2 of 5
A nurse is assisting with the care of a client who is receiving a blood transfusion. The client reports chills, back pain, and itching. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: Stopping the transfusion is the priority to halt a possible transfusion reaction.
Question 3 of 5
A nurse is collecting data on an older adult client. Which of the following findings should indicate to the nurse that the client has a bladder infection?
Correct Answer: A
Rationale: Changed mental status is a common sign of bladder infection in older adults, who may not present with typical urinary symptoms.
Question 4 of 5
A nurse is caring for a client who is 8 hr postoperative following a left hip arthroplasty. Which of the following laboratory values indicates the nurse should notify the provider?
Correct Answer: C
Rationale: Low hemoglobin (8.6 g/dL) indicates anemia, likely from surgical blood loss.
Question 5 of 5
A nurse is reinforcing teaching with a client who has gastroesophageal reflux disease (GERD). Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: D
Rationale: Waiting 2 hours before lying down reduces reflux by allowing gastric emptying.