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 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 2 of 5
A nurse enters a client's room and sees smoke coming from the trash can next to the client's bed. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Removing the client ensures safety, the priority in a fire. Closing the door, getting an extinguisher, and pulling the alarm follow after ensuring client safety.
Question 3 of 5
A nurse is caring for a client who has a distal radius fracture with a short arm cast applied. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Neurovascular checks every 2 hours monitor for complications like compartment syndrome. Hot air risks burns, lowering the arm increases swelling, and finger splints aren't needed.
Question 4 of 5
A nurse in an urgent care facility is collecting data from a client who was stung by a wasp. Which of the following findings indicates the client is experiencing anaphylaxis?
Correct Answer: B
Rationale: Difficulty swallowing indicates airway involvement in anaphylaxis, a life-threatening condition. Tinnitus, hypertension, and rashes are less specific.
Question 5 of 5
A nurse is caring for a client who is at risk for anaphylaxis due to bee stings. When reinforcing teaching about the use of an automatic epinephrine injector, which of the following actions is the priority?
Correct Answer: C
Rationale: Seeking medical attention after epinephrine use is critical, as anaphylaxis requires further care. Reviewing signs, storage, and demonstration are secondary.