ATI PN Adult Med Surg 2020 with NGN

Extract:

Question 1 of 5

A nurse is reinforcing teaching with a client who has a new prescription for insulin glargine. Which of the following statements by the client indicates an understanding of the teaching?

A. I will shake the vial vigorously before drawing up the insulin.B. I will inject this insulin at a 45-degree angle.C. I will administer this insulin once daily at bedtime.D. I will store this insulin in the refrigerator after opening it.

Correct Answer: C

Rationale: Insulin glargine is administered once daily at bedtime. Shaking damages it, a 90-degree angle is used, and refrigeration is optional after opening.

Question 2 of 5

A nurse is reinforcing teaching with a client who is scheduled to have a colonoscopy. Which of the following information should the nurse include in the teaching?

A. You will be moderately sedated during the procedure.B. You will lie on your right side for the procedure.C. You may drink full liquids until 6 hours before the procedure.D. You should warm the liquid bowel preparation before drinking it.

Correct Answer: A

Rationale: Moderate sedation ensures comfort during colonoscopy. Patients lie on the left side, clear liquids are required, and bowel prep is taken cold or at room temperature.

Question 3 of 5

A nurse is collecting admission history data from a client who is in a semi-private room. Which of the following data is the priority for the nurse to address?

A. Recent exposure to tuberculosisB. History of generalized anxiety disorderC. Reports periodic migraine headachesD. Experiences nocturia

Correct Answer: A

Rationale: TB exposure risks transmission to others, making it the priority. Anxiety, migraines, and nocturia are less urgent.

Question 4 of 5

A nurse has received change-of-shift report for four clients. Which of the following clients should the nurse attend to first?

A. A client who has Clostridium difficile and has liquid stoolsB. A client who had abdominal surgery 2 days ago and the incision line is separatingC. A client who has a chronic tracheostomy and is intermittently coughing up clear sputumD. A client who fell 12 hr ago and reports pain as 4 on a scale of 0 to 10

Correct Answer: B

Rationale: A separating incision suggests wound dehiscence, a surgical emergency requiring immediate attention. C. difficile stools, clear sputum, and moderate pain are less urgent.

Question 5 of 5

A nurse is reinforcing teaching about liquid iron supplements with a client who has anemia. Which of the following information should the nurse include in the teaching?

A. Take iron supplements between meals for maximum absorption.B. Reduce gastric distress by taking iron supplements with an antacid.C. Check for orange-colored stools after 4 days of treatment.D. Mix iron supplements with milk to prevent staining of the teeth.

Correct Answer: A

Rationale: Taking iron between meals maximizes absorption. Antacids and milk reduce absorption, and stools may change color sooner.

ATI PN Adult Med Surg 2020 with NGN | Nurselytic

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ATI LPN

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