ATI LPN
ATI PN adult Medical Surgical 2020 with NGN Exam 3 Questions
Extract:
Question 1 of 5
A nurse is collecting data from a client who is 8 hours postoperative following abdominal surgery. The client's blood pressure is 94/56 mm Hg. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: Comparing the current blood pressure with the preoperative value helps determine the clinical significance and guides further action.
Question 2 of 5
A nurse is providing care to a client who has sustained deep partial thickness burns to the back of both legs. Which of the following actions should the nurse anticipate taking?
Correct Answer: B
Rationale: Changing gloves between wound care on different areas prevents cross-contamination, a critical infection control measure.
Question 3 of 5
A nurse is caring for a client in hospice care who is dying. The client's partner is concerned that the client is sleeping more than in the previous week. Which of the following responses by the nurse is appropriate?
Correct Answer: D
Rationale: Sitting quietly near the bedside provides comfort and support, respecting the natural process of increased sleep in the dying client.
Question 4 of 5
A nurse has just received the morning change of shift report for four clients. Which of the following clients has the highest priority need?
Correct Answer: D
Rationale: Low urine output (80 mL/8 hours) may indicate acute kidney injury, requiring urgent attention.
Question 5 of 5
A nurse is assisting with the plan of care for a client who has osteoarthritis. The client reports knee stiffness upon ambulation. Which of the following interventions should the nurse include in the plan of care?
Correct Answer: C
Rationale: Applying moist heat helps relax muscles and increase circulation, reducing stiffness before ambulation.