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 has type 2 diabetes mellitus and a new prescription for metformin. Which of the following instructions should the nurse include in the teaching?
Correct Answer: B
Rationale: Reporting muscle pain immediately is crucial, as it may indicate lactic acidosis, a rare but serious metformin side effect.
Question 2 of 5
A nurse is caring for a client who has a tracheostomy tube. Upon data collection, the nurse observes the client is restless and hears crackles in the lungs. Which of the following interventions should the nurse take?
Correct Answer: D
Rationale: Suctioning removes secretions, improving ventilation and addressing restlessness and crackles in the lungs.
Question 3 of 5
A nurse is reinforcing teaching with a client who has a new prescription for warfarin. Which of the following statements by the client indicates a need for further teaching?
Correct Answer: D
Rationale: Taking an antacid with warfarin can alter its absorption, indicating a need for further teaching to ensure proper administration.
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 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: D
Rationale: Allowing frequent rest periods helps manage fatigue and prevent overexertion in clients with heart failure, who often have reduced cardiac output and exercise tolerance.