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 wants to lose 0.9 kg (2 lb) of body fat per week. The nurse knows that 0.45 kg (1 lb) of body fat is equal to 3,500 calories. The nurse should instruct the client to reduce his daily caloric intake by how many calories?
Correct Answer: A
Rationale:
To lose 2 lb per week, a 7,000-calorie deficit is needed (3,500 x 2). Dividing by 7 days gives a daily reduction of 1,000 calories, which is a safe and effective approach.
Question 2 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 3 of 5
A nurse is reinforcing teaching with a client who is 24 hr postoperative following a total hip arthroplasty. Which of the following instructions should the nurse include in the teaching?
Correct Answer: B
Rationale: Sitting in a straight-backed chair maintains proper hip alignment and prevents excessive flexion, reducing the risk of prosthesis dislocation.
Question 4 of 5
A nurse is reviewing vital signs obtained by an assistive personnel on a group of clients. The previous vital signs for each of the clients were obtained 4 hr earlier. Which of the following changes should the nurse identify as the priority finding?
Correct Answer: C
Rationale: A blood pressure drop to 86/50 mm Hg indicates hypotension, which can compromise tissue perfusion and requires immediate intervention to prevent organ damage.
Question 5 of 5
A nurse is caring for a client who has partial-thickness burns on 50% of his body and is receiving total parenteral nutrition. The nurse should actively monitor the client for which of the following?
Correct Answer: A
Rationale:
Total parenteral nutrition can cause hyperglycemia due to high glucose content, requiring regular monitoring of serum glucose levels to manage potential complications.