ATI PN adult Medical Surgical 2020 with NGN Exam 3

Extract:

Question 1 of 5

A nurse is reinforcing discharge teaching with the partner of a client who requires tracheal suctioning. Which of the following statements by the partner indicates an understanding of the teaching?

A. I will suction for less than 15 seconds while inserting the suction catheter.B. I will set the suction pressure dial between 80 and 120.C. I will wrap the suction catheters in a clean towel to be used again at a later time.D. I will suction the mouth before inserting the suction catheter into the tracheostomy.

Correct Answer: A

Rationale: Suctioning for less than 15 seconds minimizes hypoxia during tracheal suctioning.

Question 2 of 5

A nurse is reinforcing teaching about meal planning with a client who has hypertension. Which of the following statements by the client indicates an understanding of the teaching?

A. I can have canned soup.B. I can season food with ketchup.C. I can have a bologna sandwich.D. I can season food with vinegar.

Correct Answer: D

Rationale: Vinegar is a low-sodium seasoning, suitable for hypertension management.

Question 3 of 5

A nurse is reinforcing teaching with a client about breast self-examinations. Which of the following statements by the client indicates an understanding of the teaching?

A. I will perform breast exams every other month.B. I will perform breast exams the day my period begins.C. It is common for one breast to be larger than the other.D. It is common for the skin on my breasts to dimple.

Correct Answer: C

Rationale: It is common for one breast to be larger than the other, reflecting understanding of normal breast anatomy.

Question 4 of 5

A nurse is caring for an older adult client who has heart failure. Which of the following findings should the nurse report to the provider?

A. Chest x-ray showing cardiomegaly.B. Urinary output of 1,000 mL in 12 hoursC. Potassium level 4.5 mEq/LD. PaCO2 55 mm Hg

Correct Answer: D

Rationale: A PaCO2 of 55 mm Hg indicates respiratory acidosis, suggesting worsening heart failure.

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