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 is experiencing opioid toxicity. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Hypotension is expected in opioid toxicity due to central nervous system depression, affecting cardiovascular function.
Question 2 of 5
A nurse is obtaining a medication history from a client who is to start taking nitroglycerin for chest discomfort with activity. Which of the following medications should the nurse instruct the client to avoid taking within 24 hours of using nitroglycerin?
Correct Answer: D
Rationale: Sildenafil can cause severe hypotension when taken with nitroglycerin, necessitating avoidance within 24 hours.
Question 3 of 5
A nurse is collecting data from a client who reports abdominal pain and has a history of appendicitis. Which of the following findings should the nurse report to the provider as a priority?
Correct Answer: D
Rationale: A rigid, board-like abdomen indicates peritonitis, a life-threatening complication of appendicitis requiring immediate surgical intervention.
Question 4 of 5
A nurse is caring for a client who is postoperative following a total thyroidectomy for hyperthyroidism. Which of the following findings should the nurse identify as the priority?
Correct Answer: A
Rationale: A temperature of 39° C may indicate thyroid storm, a life-threatening condition requiring urgent intervention.
Question 5 of 5
A nurse is caring for a client who has pneumonia with dyspnea. The client's ABG results are pH 7.30, PaCO2 50 mm Hg, HCO3 26 mEq/L. The nurse should recognize that the client has which of the following acid-base imbalances?
Correct Answer: D
Rationale: The ABG results show a low pH (7.30) and high PaCO2 (50 mm Hg), indicating respiratory acidosis, which occurs due to impaired gas exchange and carbon dioxide retention in conditions like pneumonia.