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 receiving peritoneal dialysis. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Covering the pad prevents burns or irritation by avoiding direct skin contact, ensuring safe application during peritoneal dialysis.
Question 2 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 obstruction from swelling, a life-threatening sign of anaphylaxis requiring urgent intervention.
Question 3 of 5
A nurse is reviewing vital signs obtained by an assistive personnel on a group of clients. The previous vital signs for each of the clients were obtained 4 hr earlier. Which of the following changes should the nurse identify as the priority finding?
Correct Answer: C
Rationale: A blood pressure drop to 86/50 mm Hg indicates hypotension, which can compromise tissue perfusion and requires immediate intervention to prevent organ damage.
Question 4 of 5
A nurse is caring for a client who has been receiving epoetin alfa in preparation for a hip arthroplasty. Which of the following findings indicates that the medication has been effective?
Correct Answer: A
Rationale: An increased hemoglobin level (11 g/dL) indicates epoetin alfa's effectiveness in stimulating red blood cell production.
Question 5 of 5
A nurse is assisting with the plan of care for a client who has botulism poisoning. Which of the following interventions should the nurse include in the plan?
Correct Answer: D
Rationale: Monitoring for muscle paralysis is critical, as botulism toxin causes flaccid paralysis, affecting respiratory and motor functions.