ATI PN Adult Med Surg 2020 with NGN | Nurselytic

Questions 106

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ATI LPN Test Bank

ATI PN Adult Med Surg 2020 with NGN Questions

Extract:


Question 1 of 5

A nurse is reinforcing teaching with a client who is 24 hours postoperative following a total hip arthroplasty. Which of the following instructions should the nurse include in the teaching?

Correct Answer: B

Rationale: Straight-backed chairs prevent hip dislocation post-arthroplasty. Moist heat risks infection, and hip adduction increases dislocation risk.

Question 2 of 5

A nurse is caring for a visually impaired client. What action should the nurse take when delivering the client's meal tray?

Correct Answer: D

Rationale: Describing food placement like a clock aids independence for visually impaired clients. Feeding assistance, discouraging conversation, and adaptive utensils are less helpful.

Question 3 of 5

A nurse is reinforcing teaching with a client about strategies to prevent hypertension. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer: C

Rationale: Limiting sodium to 2,000 mg/day helps prevent hypertension. Fish intake, maintaining high BMI, and minimal exercise are less effective.

Question 4 of 5

A nurse is assisting with care for a client who received a tuberculin skin test 72 hr ago. When collecting data from the test site, which of the following findings indicates a need for further testing?

Correct Answer: D

Rationale: Induration over 10 mm suggests TB exposure, requiring further testing. Redness, ecchymosis, and tenderness don't indicate a positive test.

Question 5 of 5

A nurse is caring for a client who is 4 hr postoperative following an abdominal surgery and notes that the client's abdominal incision is open and the internal organs are protruding. After contacting the rapid response team, which of the following actions should the nurse take next?

Correct Answer: C

Rationale: A moist saline dressing protects protruding organs, preventing damage until surgery. Vital signs, positioning, and bed elevation are secondary.

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