ATI PN Adult Medical Surgical 2020 with NGN II | Nurselytic

Questions 71

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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 COPD and reports shortness of breath and little appetite. Which of the following instructions should the nurse include in the teaching?

Correct Answer: A

Rationale: Limiting fluid intake during meals prevents early fullness, allowing more room for nutrient-dense foods to support appetite in COPD.

Question 2 of 5

A nurse is assisting in the plan of care for a client who has constipation after receiving opioid medication for incisional pain. Which of the following actions should the nurse take first?

Correct Answer: A

Rationale: Auscultating bowel sounds first assesses bowel motility, guiding subsequent interventions for opioid-induced constipation.

Question 3 of 5

A nurse is caring for a client who is postoperative following a total thyroidectomy for hyperthyroidism. Which of the following findings should the nurse identify as the priority?

Correct Answer: A

Rationale: A temperature of 39°C may indicate thyroid storm, a life-threatening complication requiring urgent intervention.

Question 4 of 5

A nurse is collecting data from a client who had a left hemispheric stroke. Which of the following findings should the nurse report to the provider immediately?

Correct Answer: D

Rationale: A change in pupil size may indicate increased intracranial pressure, a life-threatening stroke complication requiring immediate reporting.

Question 5 of 5

A nurse is caring for a client who has been receiving epoetin alfa in preparation for a hip arthroplasty. Which of the following findings indicates that the medication has been effective?

Correct Answer: A

Rationale: An increased hemoglobin level (11 g/dL) indicates epoetin alfa's effectiveness in stimulating red blood cell production.

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