ATI LPN
ATI PN Adult Medical Surgical 2020 with NGN II Questions
Extract:
Question 1 of 5
A nurse is obtaining a medication history from a client who is to start taking nitroglycerin for chest discomfort with activity. Which of the following medications should the nurse instruct the client to avoid taking within 24 hours of using nitroglycerin?
Correct Answer: D
Rationale: Sildenafil can cause severe hypotension when taken with nitroglycerin, requiring avoidance within 24 hours to prevent life-threatening complications.
Question 2 of 5
A nurse is reinforcing teaching with a client who has a new ileostomy. Which of the following statements by the client indicates a need for further teaching?
Correct Answer: D
Rationale: Expecting a pale and dry stoma indicates a misunderstanding, as a healthy stoma should be pink and moist, signaling further teaching is needed.
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 caring for a client who has a tracheostomy tube. Upon data collection, the nurse observes the client is restless and hears crackles in the lungs. Which of the following interventions should the nurse take?
Correct Answer: D
Rationale: Suctioning removes secretions, improving ventilation and addressing restlessness and crackles in the lungs.
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.