ATI LPN
ATI PN Adult Medical Surgical 2020 with NGN Questions
Extract:
Question 1 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: D
Rationale: The herpes zoster vaccine is recommended for adults 60 and older to prevent shingles, a common concern in this age group.
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 anaphylaxis due to throat swelling, a life-threatening airway obstruction requiring urgent intervention.
Question 3 of 5
A nurse is caring for a client who is postoperative following a cholecystectomy. Which of the following actions should the nurse take to promote respiratory function?
Correct Answer: A
Rationale: Encouraging the use of an incentive spirometer promotes lung expansion and prevents atelectasis, improving respiratory function post-cholecystectomy.
Question 4 of 5
A nurse is collecting admission history data from a client who is in a semi-private room. Which of the following data is the priority for the nurse to address?
Correct Answer: B
Rationale: Recent tuberculosis exposure is the priority due to its contagious nature, requiring immediate isolation to protect the client and others.
Question 5 of 5
A nurse is collecting data from a client who had a left hemispheric stroke. Which of the following findings should the nurse report to the provider immediately?
Correct Answer: D
Rationale: A change in pupil size may indicate increased intracranial pressure, a life-threatening stroke complication requiring immediate reporting.