ATI LPN
ATI PN Adult Medical Surgical 2020 with NGN Questions
Extract:
Question 1 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 circulation issues, which is critical in tracheostomy care.
Question 2 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 causing restlessness and crackles, improving ventilation in a tracheostomy client.
Question 3 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 circulation issues, which is critical in tracheostomy care.
Question 4 of 5
A nurse is reinforcing teaching about a transcutaneous electrical nerve stimulation (TENS) unit for a client who has a herniated intervertebral disk. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: B
Rationale: Adjusting the TENS unit to produce a tingling sensation indicates proper use, blocking pain signals effectively.
Question 5 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: A
Rationale: Wound dehiscence is a surgical emergency requiring immediate attention to prevent evisceration or infection.