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 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 3 of 5
A nurse is assisting in the care of a client who has a pulmonary embolism and is experiencing dyspnea. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Placing the client in high-Fowler's position is the first action to improve oxygenation by maximizing lung expansion, addressing the immediate issue of impaired gas exchange caused by the pulmonary embolism.
Question 4 of 5
A nurse is reinforcing teaching with a client who has a BMI of 32 and wants to lose weight. Which of the following statements should the nurse make to promote the client's weight loss?
Correct Answer: D
Rationale: Consuming 500 fewer calories daily creates a sustainable deficit for gradual weight loss of about one pound per week.
Question 5 of 5
A nurse is examining the abdominal wound of a client who is 3 days postoperative following a hemicolectomy. Which of the following findings indicates a wound infection?
Correct Answer: A
Rationale: Redness around the incision line suggests inflammation and possible bacterial infection, requiring further evaluation and treatment.