ATI LPN
ATI PN Adult Medical Surgical 2020 with NGN Questions
Extract:
Question 1 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.
Question 2 of 5
A nurse is reinforcing teaching with a client who has angina. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: B
Rationale: Notifying emergency response for sudden jaw pain shows understanding, as jaw pain can be a symptom of a heart attack, requiring immediate attention.
Question 3 of 5
A nurse is reinforcing teaching with a client who has COPD and reports shortness of breath and little appetite. Which of the following instructions should the nurse include in the teaching?
Correct Answer: A
Rationale: Limiting fluid intake during meals prevents early satiety, allowing more room for nutrient-dense foods in COPD clients.
Question 4 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: Induration greater than 10 mm indicates a positive tuberculin test, requiring further evaluation for tuberculosis.
Question 5 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 in cystitis, reflecting bladder inflammation and infection, especially in older adults.