ATI LPN
ATI PN Adult Medical Surgical 2020 with NGN II Questions
Extract:
Question 1 of 5
A nurse is collecting data for an older adult client who has cystitis. Which of the following findings should the nurse expect?
Correct Answer: C,D,E
Rationale: Hematuria, confusion, and dysuria are expected findings in cystitis, indicating infection-related inflammation and altered mental status in older adults.
Question 2 of 5
A nurse is reinforcing teaching with a client who has anemia and has a prescription for ferrous sulfate. Which of the following foods should the nurse recommend that the client consume to increase the absorption of this medication?
Correct Answer: B
Rationale: Raw oranges, high in vitamin C, enhance iron absorption by reducing it to a more soluble form.
Question 3 of 5
A nurse is reinforcing discharge teaching with a client who had an abdominal hysterectomy 2 days ago. Which of the following instructions should the nurse include in the teaching?
Correct Answer: D
Rationale: Taking a shower prevents infection by avoiding soaking the incision, promoting healing after an abdominal hysterectomy.
Question 4 of 5
A nurse is assisting with the care of a client who has a prescription for wrist restraints. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Ensuring one finger fits between the restraint and skin prevents excessive tightness, reducing the risk of impaired circulation or skin damage.
Question 5 of 5
A nurse is assisting with care for a client who received a tuberculin skin test 72 hours ago. When collecting data from the test site, which of the following findings indicates a need for further testing?
Correct Answer: A
Rationale: A palpable induration greater than 10 mm indicates possible tuberculosis exposure, necessitating further diagnostic testing.