ATI LPN
ATI PN Adult Medical Surgical 2020 with NGN II Questions
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?
Correct Answer: A
Rationale: Maintaining direct pressure promotes clotting and stops bleeding, critical for a client with hemophilia to prevent excessive blood loss.
Question 2 of 5
A nurse is assisting with care for a client who received a tuberculin skin test 72 hours ago. When collecting data from the test site, which of the following findings indicates a need for further testing?
Correct Answer: A
Rationale: A palpable induration greater than 10 mm indicates possible tuberculosis exposure, necessitating further diagnostic testing.
Question 3 of 5
A nurse is caring for a client who has a tracheostomy tube. Upon data collection, the nurse observes the client is restless and hears crackles in the lungs. Which of the following interventions should the nurse take?
Correct Answer: D
Rationale: Suctioning removes secretions, improving ventilation and addressing restlessness and crackles in the lungs.
Question 4 of 5
A nurse is assisting with the care of a client who is at 38 weeks of gestation and in labor. Which of the following findings should the nurse report to the charge nurse immediately?
Correct Answer: C
Rationale: Fetal heart rate with absent variability indicates potential fetal distress, requiring immediate reporting to ensure timely intervention.
Question 5 of 5
A nurse is reinforcing teaching with a client who has anemia and has a prescription for ferrous sulfate. Which of the following foods should the nurse recommend that the client consume to increase the absorption of this medication?
Correct Answer: B
Rationale: Raw oranges, high in vitamin C, enhance iron absorption by reducing it to a more soluble form.