ATI LPN
ATI PN adult Medical Surgical 2020 with NGN Exam 3 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 is the priority for the nurse to take?
Correct Answer: A
Rationale: Elevating the bed to 30° reduces aspiration risk, the priority during enteral feeding.
Question 2 of 5
A nurse administered a dose of penicillin to a client 30 minutes ago. The client reports that she has hives and is itching. Which of the following statements by the nurse is the highest priority?
Correct Answer: B
Rationale: Difficulty breathing may indicate anaphylaxis, a medical emergency requiring immediate assessment.
Question 3 of 5
A nurse is assisting with the plan of care for an older adult client who has a new prescription for transdermal clonidine. Which of the following actions should the nurse include in the plan of care?
Correct Answer: A
Rationale: Transdermal clonidine can cause dry mouth, and advising the client helps with awareness and management.
Extract:
Medical Administration Record, Diagnostic Results, Vital Signs, Progress Report
Question 4 of 5
A nurse is caring for a client who has heart failure. After reviewing the findings above, which of the following actions should the nurse take?
Correct Answer: D, F
Rationale: Increased furosemide (
D) addresses fluid retention, and daily weighing (F) monitors heart failure status.
Extract:
Question 5 of 5
A nurse is reinforcing teaching with a client about breast self-examinations. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: C
Rationale: It is common for one breast to be larger than the other, reflecting understanding of normal breast anatomy.