ATI LPN
ATI PN Adult Medical Surgical 2020 with NGN II Questions
Extract:
Question 1 of 5
A nurse is contributing to the plan of care for a client who has disuse syndrome following cast removal from a lower extremity. Which of the following referrals should the nurse include in the plan of care?
Correct Answer: A
Rationale: An occupational therapist can help restore function and mobility, addressing disuse syndrome through targeted rehabilitation.
Question 2 of 5
A nurse is assisting with discharge teaching for a client who requires oropharyngeal suctioning at home. The nurse should ensure that which of the following equipment is available for use at home?
Correct Answer: A
Rationale: A Yankauer catheter is essential for effective oropharyngeal suctioning at home, allowing removal of secretions from the mouth and throat.
Question 3 of 5
A nurse is caring for a client who has a distal radius fracture with a short arm cast applied. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Performing neurovascular checks every 2 hours detects complications like compartment syndrome, ensuring timely intervention.
Question 4 of 5
A nurse is examining the abdominal wound of a client who is 3 days postoperative following a hemicolectomy. Which of the following findings indicates a wound infection?
Correct Answer: A
Rationale: Redness around the incision line suggests inflammation and possible bacterial infection, requiring further evaluation and treatment.
Question 5 of 5
A nurse is collecting data from a client who had a left hemispheric stroke. Which of the following findings should the nurse report to the provider immediately?
Correct Answer: D
Rationale: A change in pupil size may indicate increased intracranial pressure, a life-threatening stroke complication requiring immediate reporting.