ATI PN adult Medical Surgical 2020 with NGN Exam 3

Extract:

Question 1 of 5

A nurse is prioritizing care for four clients. Which of the following clients should the nurse see first?

A. A client who has a spinal cord injury and has a prescription for a condom catheter.B. A client who has immune thrombocytopenic purpura and a platelet count of 150,000/mm.C. A client who reports pain in his left calf and has a respiratory rate of 32/min.D. A client who requires a signed consent form prior to cardiac catheterization.

Correct Answer: C

Rationale: The client reporting pain in the left calf with an elevated respiratory rate could be experiencing a deep vein thrombosis (DVT) leading to a pulmonary embolism, which is a medical emergency.

Question 2 of 5

A nurse is planning care for a client who is receiving radiation therapy to treat throat cancer and reports a change in the taste of food. Which of the following interventions should the nurse include in the plan of care?

A. Provide three large meals daily.B. Heat food before serving.C. Add honey to sweeten fruit smoothies.D. Offer artificial saliva frequently.

Correct Answer: D

Rationale: Artificial saliva helps with dry mouth, improving taste perception post-radiation.

Question 3 of 5

A nurse is assisting with the care of a client who has a closed chest tube drainage system. Which of the following actions should the nurse take?

A. Clamp the tube for 30 minutes every 8 hours.B. Pin the tubing to the client's bed sheets.C. Replace the unit when the drainage chamber is full.D. Monitor for at least 150 mL of drainage every hour.

Correct Answer: C

Rationale: Replacing the unit when the drainage chamber is full ensures continuous and effective drainage.

Question 4 of 5

A nurse is reinforcing teaching with a client who has psoriasis. Which of the following treatment options should the nurse include in the teaching?

A. DermabrasionB. Benzoyl peroxideC. Ointment based treatmentD. Phototherapy

Correct Answer: D

Rationale: Phototherapy is a common and effective treatment for psoriasis, using UV light.

Extract:

Medical Administration Record, Diagnostic Results, Vital Signs, Progress Report

Question 5 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?

A. Place the client on 24-hr urine collection.B. Request to hold the client's metoprolol.C. Place on sodium restriction of less than 1.500 mg per day.D. Request for an increased dosage of furosemide.E. Decrease the client's oxygen to 1 L/min via nasal cannula.F. Weigh the client daily.

Correct Answer: D, F

Rationale: Increased furosemide (
D) addresses fluid retention, and daily weighing (F) monitors heart failure status.

ATI PN adult Medical Surgical 2020 with NGN Exam 3 | Nurselytic

Nurselytic

ATI LPN

ATI LPN