ATI PN Adult Med Surg 2020 with NGN

Extract:

Question 1 of 5

A nurse is providing care for a client who has hemophilia and is bleeding from a small laceration on his arm. After applying a sterile dressing, which of the following actions should the nurse take next?

A. Maintain direct pressure over the site.B. Check whether the bleeding has stopped.C. Obtain a radial pulse.D. Reinforce the dressing over the site.

Correct Answer: A

Rationale: Direct pressure controls bleeding in hemophilia, where clotting is impaired. Checking bleeding, pulses, or reinforcing the dressing follows pressure application.

Question 2 of 5

A nurse is caring for a client who has a new prescription for a metered-dose inhaler. Which of the following actions should the nurse take to ensure proper use?

A. Instruct the client to inhale quickly while pressing the canister.B. Tell the client to hold their breath for 3 seconds after inhalation.C. Have the client rinse their mouth with water before using the inhaler.D. Advise the client to shake the inhaler for 10 seconds before use.

Correct Answer: A

Rationale: Inhaling quickly while pressing the canister ensures medication delivery. Holding breath for 10 seconds, rinsing first, or shaking for 10 seconds are incorrect.

Question 3 of 5

A nurse is caring for a client who has a new diagnosis of type 2 diabetes mellitus. Which of the following findings should the nurse report to the provider?

A. Fasting blood glucose 110 mg/dLB. HbA1c 8.5%C. Weight gain of 2 kg (4.4 lb) over 1 monthD. Reports of increased thirst and urination

Correct Answer: D

Rationale: Increased thirst and urination suggest hyperglycemia, requiring immediate reporting. Fasting glucose and weight gain are less urgent, and HbA1c reflects long-term control.

Question 4 of 5

A nurse is caring for a client who is receiving intermittent bolus enteral feedings through a jejunostomy tube. Which of the following actions should the nurse take?

A. Elevate the head of the client's bed for 1 hr after the feeding.B. Administer the feeding solution at a cold temperature.C. Rotate the jejunostomy tube once per dayD. Flush the tube with 90 mL of sterile water before and after the feeding.

Correct Answer: A

Rationale: Elevating the bed reduces aspiration risk during jejunostomy feedings. Cold feedings cause discomfort, rotating the tube risks irritation, and excessive flushing isn't standard.

Question 5 of 5

A nurse is reinforcing teaching with a client who has a BMI of 32 and wants to lose weight. Which of the following statements should the nurse make to promote the client's weight loss?

A. Consume 500 fewer calories per day than your estimated calorie needs.B. Plan your meals so up to 40 percent of your calories come from fats.C. Include refined grains as a good carbohydrate in your diet.D. Reward yourself with special foods for achieving short-term goals.

Correct Answer: A

Rationale: Reducing 500 calories daily promotes safe weight loss. High fat, refined grains, and food rewards hinder progress.

ATI PN Adult Med Surg 2020 with NGN | Nurselytic

Nurselytic

ATI LPN

ATI LPN