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 angina. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: B
Rationale: Notifying emergency response for sudden jaw pain shows understanding, as jaw pain can indicate a heart attack, requiring immediate medical attention.
Question 2 of 5
A nurse is monitoring a client who is undergoing a blood transfusion of packed RBCs. The nurse should recognize that which of the following findings indicates fluid overload?
Correct Answer: A
Rationale: Dyspnea indicates fluid overload during transfusion, as excess volume can lead to pulmonary congestion, requiring immediate intervention.
Question 3 of 5
A nurse is caring for a client who is at risk for anaphylaxis due to bee stings. When reinforcing teaching about the use of an automatic epinephrine injector, which of the following actions is the priority?
Correct Answer: B
Rationale: Informing the client to seek medical attention following administration of the injection is the priority because it is a life-saving action. Epinephrine can temporarily alleviate anaphylaxis symptoms, but its effects may wear off, requiring further medical intervention to prevent complications or recurrence.
Question 4 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 5 of 5
A nurse is reinforcing teaching about a transcutaneous electrical nerve stimulation (TENS) unit for a client who has a herniated intervertebral disk. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: B
Rationale: Adjusting the TENS unit to produce a tingling sensation ensures effective pain relief by blocking pain signals.