ATI LPN
ATI PN adult Medical Surgical 2020 with NGN Exam 3 Questions
Extract:
Question 1 of 5
A nurse is preparing to administer ceftriaxone using the Z-track technique to a client who has gonorrhea. After the nurse performs hand hygiene and reconstitutes the medication, what is the correct sequence the nurse should use to administer the medication?
Correct Answer: C, D, B, E, A
Rationale: The correct sequence for the Z-track technique is: cleanse the site (
C), pull the skin laterally (
D), insert the needle (
B), aspirate and inject (E), then remove the needle and release the tissue (
A).
Question 2 of 5
A nurse is assisting in the care of a client who had an ischemic stroke. Which of the following observations by the nurse indicates a need for an occupational therapy referral?
Correct Answer: D
Rationale: Exhaustion during ADLs like brushing teeth indicates a need for occupational therapy.
Question 3 of 5
A nurse is reinforcing teaching with a client who has a new prescription for alendronate for the treatment of osteoporosis. Which of the following instructions should the nurse include?
Correct Answer: D
Rationale: Sitting upright for 30 to 60 minutes after taking alendronate prevents esophageal irritation and promotes absorption.
Question 4 of 5
A nurse is caring for a client who is 3 days postoperative following an ileostomy placement. Which of the following findings should the nurse report to the provider?
Correct Answer: A
Rationale: A retracting stoma may indicate complications like ischemia, requiring immediate reporting.
Question 5 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.