ATI LPN
ATI PN Adult Medical Surgical 2020 with NGN II Questions
Extract:
Question 1 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 2 of 5
A nurse is assisting with care for a client who received a tuberculin skin test 72 hours ago. When collecting data from the test site, which of the following findings indicates a need for further testing?
Correct Answer: A
Rationale: A palpable induration greater than 10 mm indicates possible tuberculosis exposure, necessitating further diagnostic testing.
Question 3 of 5
A nurse is reinforcing teaching with a client who has psoriasis. Which of the following treatment options should the nurse include in the teaching?
Correct Answer: B
Rationale: Phototherapy reduces psoriasis symptoms by slowing skin cell growth and decreasing immune response, making it an effective treatment option.
Question 4 of 5
A nurse is performing tracheostomy care for a client who has a chronic tracheostomy. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Allowing space for one finger under the tube ties ensures they are secure but not too tight, preventing skin breakdown or impaired circulation while maintaining tube stability.
Question 5 of 5
A nurse is assisting with the care of a client who is at 38 weeks of gestation and in labor. Which of the following findings should the nurse report to the charge nurse immediately?
Correct Answer: C
Rationale: Fetal heart rate with absent variability indicates potential fetal distress, requiring immediate reporting to ensure timely intervention.