ATI LPN
ATI PN Adult Medical Surgical 2020 with NGN II Questions
Extract:
Question 1 of 5
A nurse is reinforcing teaching with a client who will undergo a colonoscopy the following week. Which of the following instructions should the nurse include?
Correct Answer: D
Rationale: Not eating or drinking anything except water for 12 hours before the procedure ensures a clear colon, improving visualization during the colonoscopy.
Question 2 of 5
A nurse is collecting data about immunizations from a 65-year-old client who has no identified risk factors for disease. The nurse should identify the client's need for which of the following immunizations?
Correct Answer: D
Rationale: The herpes zoster vaccine is recommended for adults 65 and older to prevent shingles, a common concern in this age group.
Question 3 of 5
A nurse is caring for a client who is postoperative following a coronary artery bypass graft and has a prescription for propranolol. The nurse should monitor the client for which of the following adverse effects?
Correct Answer: B
Rationale: Propranolol, a beta-blocker, can cause hypotension by reducing heart rate and cardiac output, requiring careful monitoring.
Question 4 of 5
A nurse is reinforcing teaching with a client who has a new ileostomy. Which of the following statements by the client indicates a need for further teaching?
Correct Answer: D
Rationale: Expecting a pale and dry stoma indicates a misunderstanding, as a healthy stoma should be pink and moist, signaling further teaching is needed.
Question 5 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.