ATI LPN
ATI PN Adult Med Surg 2020 with NGN 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, identify the sequence the nurse should use to administer the medication.
Correct Answer: A,C,B
Rationale: Z-track sequence: pull skin laterally, aspirate and inject, then remove needle and release skin to prevent leakage and irritation.
Question 2 of 5
A nurse in a long-term care unit is assisting in the care of a client who has Alzheimer's disease. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Reminiscence therapy improves mood and communication in Alzheimer's patients. Raising side rails risks harm, alternating routines increases anxiety, and dim lighting causes disorientation.
Question 3 of 5
A nurse is caring for a client who is at risk for anaphylaxis due to bee stings. When reinforcing teaching about the use of an automatic epinephrine injector, which of the following actions is the priority?
Correct Answer: C
Rationale: Seeking medical attention after epinephrine use is critical, as anaphylaxis requires further care. Reviewing signs, storage, and demonstration are secondary.
Question 4 of 5
A nurse is reviewing vital signs obtained by an assistive personnel on a group of clients. The previous vital signs for each of the clients were obtained 4 hours earlier. Which of the following changes should the nurse identify as the priority finding?
Correct Answer: C
Rationale: A drop to 86/50 mm Hg suggests shock or hemorrhage, requiring urgent attention. Fever, respiratory rate, and heart rate changes are less critical.
Question 5 of 5
The nurse caring for a client reviews the medical record and determines the client is at risk for developing a potassium deficit because of which situation?
Correct Answer: D
Rationale: Nasogastric suction removes gastric secretions that contain potassium, leading to a loss of potassium from the body, which can cause hypokalemia. Addison's disease and tissue damage cause hyperkalemia, and uric acid levels are unrelated to potassium.