ATI LPN
ATI PN Adult Med Surg 2020 with NGN Questions
Extract:
Question 1 of 5
A nurse is collecting data from a client who has suspected appendicitis. What finding should the nurse prioritize to report to the provider?
Correct Answer: C
Rationale: A rigid abdomen suggests peritonitis, a critical complication requiring immediate reporting. Appetite loss, elevated WBC, and mild fever are expected.
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: D
Rationale: Sudden jaw pain can indicate a heart attack, requiring emergency response. Taking four nitroglycerin tablets risks hypotension, flushed skin isn't typical, and waiting for heartburn delays care.
Question 3 of 5
A nurse is assisting in the care of a client who had an ischemic stroke. Which of the following observations by the nurse indicates a need for an occupational therapy referral?
Correct Answer: A
Rationale: Exhaustion during daily tasks like brushing teeth indicates a need for occupational therapy to improve function. Coughing, walking, and reading suggest other referrals.
Question 4 of 5
The nurse caring for a client reviews the medical record and determines the client is at risk for developing a potassium deficit because of which situation?
Correct Answer: D
Rationale: Nasogastric suction removes gastric secretions that contain potassium, leading to a loss of potassium from the body, which can cause hypokalemia. Addison's disease and tissue damage cause hyperkalemia, and uric acid levels are unrelated to potassium.
Question 5 of 5
A nurse is assisting in the plan of care for a client who is dehydrated and is receiving IV fluid replacement. Which of the following interventions should the nurse contribute to the plan of care?
Correct Answer: A
Rationale: Neck vein distention indicates fluid overload, a risk during IV fluid replacement. Oral fluids depend on condition, pulse pressure isn't specific, and limiting fluids risks dehydration.