ATI LPN
ATI PN Adult Medical Surgical 2020 with NGN II Questions
Extract:
Question 1 of 5
A nurse is monitoring a client who is undergoing a blood transfusion of packed RBCs. The nurse should recognize that which of the following findings indicates fluid overload?
Correct Answer: A
Rationale: Dyspnea indicates fluid overload during transfusion, as excess volume can lead to pulmonary congestion, requiring immediate intervention.
Question 2 of 5
A charge nurse is reinforcing teaching about infection control with a newly licensed nurse. Which of the following actions by the newly licensed nurse indicates an understanding of the teaching?
Correct Answer: B
Rationale: Cleaning a blood spill with chlorine bleach effectively disinfects surfaces, demonstrating proper infection control.
Question 3 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 4 of 5
A nurse is reinforcing teaching with a client who has a new prescription for warfarin. Which of the following statements by the client indicates a need for further teaching?
Correct Answer: D
Rationale: Taking an antacid with warfarin can alter its absorption, indicating a need for further teaching to ensure proper administration.
Question 5 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.