ATI LPN
ATI PN Adult Medical Surgical 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: C
Rationale: Allowing frequent rest periods reduces oxygen demand and cardiac workload, helping manage fatigue and dyspnea in heart failure, making it an appropriate intervention.
Question 2 of 5
A nurse is caring for a client in hospice care who is dying. The client's partner expresses concern that the client is sleeping more than in the previous week. Which of the following is an appropriate response by the nurse?
Correct Answer: D
Rationale: Sitting quietly near the bedside offers emotional support and acknowledges the partner's concern, aligning with the comfort-focused goals of hospice care.
Question 3 of 5
A nurse is reinforcing teaching with a client who has a new prescription for levothyroxine. Which of the following instructions should the nurse include?
Correct Answer: D
Rationale: Taking levothyroxine on an empty stomach ensures optimal absorption, improving its effectiveness in treating hypothyroidism.
Question 4 of 5
A nurse is caring for a client who has a new prescription for spironolactone. Which of the following laboratory values should the nurse monitor?
Correct Answer: B
Rationale: Spironolactone is a potassium-sparing diuretic, so monitoring serum potassium prevents hyperkalemia, a potential adverse effect.
Question 5 of 5
A nurse is reviewing the medical record of a client who has hypertension and a new prescription for propranolol. Which of the following findings should the nurse identify as a contraindication for taking propranolol?
Correct Answer: D
Rationale: Propranolol is contraindicated in asthma, as it can trigger bronchospasm by blocking beta receptors in the lungs.