ATI LPN
ATI PN Adult Medical Surgical 2020 with NGN II 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 impaired circulation while maintaining tube stability.
Question 2 of 5
A nurse is collecting data from a client who is experiencing opioid toxicity. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Respiratory depression is a hallmark of opioid toxicity, resulting from excessive stimulation of brain regions regulating breathing.
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 collecting data from a client who has a prescription for furosemide. Which of the following findings should the nurse identify as an adverse effect of the medication?
Correct Answer: C
Rationale: Furosemide, a diuretic, can cause hypotension due to fluid loss, an adverse effect requiring monitoring and reporting.
Question 5 of 5
A nurse is caring for a client who is receiving peritoneal dialysis. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Covering the pad prevents burns or irritation by avoiding direct skin contact, ensuring safe application during peritoneal dialysis.