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 receiving intermittent bolus enteral feedings through a jejunostomy tube. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Elevating the bed reduces aspiration risk during jejunostomy feedings. Cold feedings cause discomfort, rotating the tube risks irritation, and excessive flushing isn't standard.
Question 2 of 5
A nurse is caring for a client who is 24 hr postoperative following abdominal surgery. The client received an opioid analgesic 1 hr ago and now reports a pain level of 2 on a scale of 0 to 10. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Repositioning addresses mild pain (2/10) non-pharmacologically. Bed rest risks complications, warm compresses increase infection risk, and more medication isn't needed.
Question 3 of 5
A nurse is collecting data from a client about her current pain status. Which of the following questions should the nurse ask to determine the quality of the client's pain?
Correct Answer: D
Rationale: Asking what pain feels like identifies its quality (e.g., burning, stabbing). Rating, consistency, and presence assess intensity, change, or existence.
Question 4 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: B
Rationale: The herpes zoster vaccine is recommended for adults over 60 to prevent shingles. Polio vaccine is for specific risk groups, HPV is for younger individuals, and MMR is for those born after 1957 without immunity.
Question 5 of 5
A nurse is assisting in the care of a client who has a pulmonary embolism and is experiencing dyspnea. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: High-Fowler's position improves oxygenation, the priority in pulmonary embolism. Vital signs, heparin, and coughing follow oxygenation improvement.