ATI LPN
PN Adult Medical Surgical 2020 Questions
Extract:
Question 1 of 5
A nurse is preparing to administer an intermittent enteral feeding to a client who has a nasogastric tube. Which of the following actions should be the priority for the nurse to take?
Correct Answer: B
Rationale: Elevating the bed to 30° prevents aspiration, a critical safety concern during enteral feeding.
Question 2 of 5
A nurse is collecting data from an older adult client. Which of the following findings indicates that the client might be dehydrated?
Correct Answer: A
Rationale: Confusion is a sign of dehydration, impacting brain function in older adults.
Question 3 of 5
A nurse is reviewing the laboratory data of a client who is scheduled for a liver biopsy. Which of the following values should the nurse report to the provider?
Correct Answer: D
Rationale: Low platelet count (thrombocytopenia) increases bleeding risk during a liver biopsy, requiring provider notification.
Question 4 of 5
A nurse is reinforcing discharge teaching with the partner of a client who requires tracheal suctioning. Which of the following statements by the partner indicates an understanding of the teaching?
Correct Answer: B
Rationale: Suction pressure of 80-120 mmHg is safe and effective for tracheal suctioning.
Question 5 of 5
A nurse is assisting with care for a client who received a tuberculin skin test 72 hr ago. When collecting data from the test site, which of the following findings indicates a need for further testing?
Correct Answer: B
Rationale: Induration over 10 mm suggests TB exposure, warranting further tests.