ATI LPN
PN Adult Medical Surgical 2020 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: D,B,E,A,C
Rationale: The Z-track sequence ensures safe administration: cleanse, pull skin, insert needle, aspirate/inject, remove needle/release skin.
Question 2 of 5
A nurse is reviewing laboratory values of a client who has severe dyspnea. Which of the following laboratory values indicates heart failure?
Correct Answer: B
Rationale: Elevated BNP (275 pg/mL) indicates heart failure due to cardiac overload.
Question 3 of 5
A nurse is reviewing the laboratory data of a client who is 1 day postoperative following an abdominal hysterectomy. Which of the following findings should the nurse report to the provider?
Correct Answer: C
Rationale: Elevated creatinine (2.3 mg/dL) suggests renal dysfunction, requiring provider notification.
Question 4 of 5
A nurse is reinforcing teaching with a client who is at 34 weeks of gestation and has a new prescription for nifedipine. Which of the following adverse effects should the nurse include in the teaching?
Correct Answer: B
Rationale: Headache is a common side effect of nifedipine, a calcium channel blocker.
Question 5 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: D
Rationale: Stoma retraction suggests complications like ischemia or obstruction.