ATI LPN
ATI PN Adult Medical Surgical 2020 with NGN Questions
Extract:
Question 1 of 5
A nurse is reinforcing teaching with a client who has diabetes mellitus and a new prescription for insulin glargine. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: B
Rationale: Storing insulin glargine in the refrigerator maintains its stability, indicating proper understanding of storage instructions.
Question 2 of 5
A nurse is contributing to the plan of care for a client who has heart failure. Which of the following actions should the nurse include in the plan?
Correct Answer: C
Rationale: Allowing frequent rest periods reduces oxygen demand and cardiac workload, helping manage fatigue and dyspnea in heart failure, making it an appropriate intervention.
Question 3 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: Induration greater than 10 mm indicates a positive tuberculin test, requiring further evaluation for tuberculosis.
Question 4 of 5
A nurse is caring for a client who has partial-thickness burns on 50% of his body and is receiving total parenteral nutrition. The nurse should actively monitor the client for which of the following?
Correct Answer: A
Rationale:
Total parenteral nutrition can cause hyperglycemia due to high caloric content, requiring regular monitoring of serum glucose levels to prevent complications.
Question 5 of 5
A nurse is reviewing vital signs obtained by an assistive personnel on a group of clients. The previous vital signs for each of the clients were obtained 4 hr earlier. Which of the following changes should the nurse identify as the priority finding?
Correct Answer: C
Rationale: A blood pressure drop to 86/50 mm Hg indicates hypotension, which can compromise tissue perfusion and lead to organ failure, making it the priority finding requiring immediate intervention.