ATI LPN
ATI PN Adult Med Surg 2020 with NGN Questions
Extract:
Question 1 of 5
A nurse is contributing to the plan of care for a client who has heart failure. Which of the following actions should the nurse include in the plan?
Correct Answer: D
Rationale: Frequent rest periods manage fatigue in heart failure. Fluid encouragement worsens overload, vital signs need more frequent checks, and weekly weights miss daily changes.
Question 2 of 5
A nurse is caring for a client who is experiencing muscle spasms and has a new prescription for an aquathermia pad. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Covering the aquathermia pad prevents burns. Sterile water isn't needed, 45-minute application risks injury, and pins can puncture the pad.
Question 3 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 assesses motility affected by opioids, guiding further interventions. Privacy, laxatives, and fluids follow assessment.
Question 4 of 5
A nurse is caring for a client who has just had a central venous catheter placed via the right subclavian vein. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Immobilizing the right arm prevents catheter dislodgement. Trendelenburg, arm exercises, and coughing increase dislodgement risk.
Question 5 of 5
A nurse is reinforcing teaching about liquid iron supplements with a client who has anemia. Which of the following information should the nurse include in the teaching?
Correct Answer: A
Rationale: Taking iron between meals maximizes absorption. Antacids and milk reduce absorption, and stools may change color sooner.