ATI LPN
ATI PN Adult Medical Surgical 2020 with NGN II 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: Respiratory depression is a hallmark of opioid toxicity, resulting from excessive stimulation of brain regions regulating breathing.
Question 2 of 5
A nurse is assisting in the plan of care for a client who has constipation after receiving opioid medication for incisional pain. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: Auscultating bowel sounds first assesses bowel motility, guiding subsequent interventions for opioid-induced constipation.
Question 3 of 5
A nurse is contributing to the plan of care for a client who reports difficulty eating due to chronic arthritis. Which of the following interventions should the nurse include in the plan?
Correct Answer: D
Rationale: Applying foam handles to utensils improves grip, enhancing the client’s ability to self-feed despite arthritis-related difficulties.
Question 4 of 5
A nurse is assisting with the plan of care for a client who has botulism poisoning. Which of the following interventions should the nurse include in the plan?
Correct Answer: D
Rationale: Monitoring for muscle paralysis is critical, as botulism toxin causes flaccid paralysis, affecting respiratory and motor functions.
Question 5 of 5
A nurse is providing care for a client who has hemophilia and is bleeding from a small laceration on his arm. After applying a sterile dressing, which of the following actions should the nurse take next?
Correct Answer: A
Rationale: Maintaining direct pressure promotes clotting and stops bleeding, critical for a client with hemophilia to prevent excessive blood loss.