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 reports difficulty eating due to chronic arthritis. Which of the following interventions should the nurse include in the plan?
Correct Answer: B
Rationale: Foam handles improve grip for arthritic clients, aiding eating. Feeding assistance reduces autonomy, therapy doesn't address utensils, and pureed diets aren't needed.
Question 2 of 5
A nurse is collecting data from a client who has mitral valve regurgitation. In which of the following areas should the nurse place the stethoscope to auscultate a murmur?
Correct Answer: B
Rationale: Mitral valve regurgitation murmur is heard at the mitral area (fifth intercostal space, left midclavicular line). Other areas are incorrect for this condition.
Question 3 of 5
A nurse has received change-of-shift report for four clients. Which of the following clients should the nurse attend to first?
Correct Answer: B
Rationale: A separating incision suggests wound dehiscence, a surgical emergency requiring immediate attention. C. difficile stools, clear sputum, and moderate pain are less urgent.
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 assisting in the plan of care for a client who is dehydrated and is receiving IV fluid replacement. Which of the following interventions should the nurse contribute to the plan of care?
Correct Answer: A
Rationale: Neck vein distention indicates fluid overload, a risk during IV fluid replacement. Oral fluids depend on condition, pulse pressure isn't specific, and limiting fluids risks dehydration.