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 heart failure and a new prescription for furosemide. The nurse should instruct the client to monitor for which of the following adverse effects?
Correct Answer: B
Rationale: Furosemide can cause ototoxicity, manifesting as tinnitus (ringing in ears), which requires immediate reporting to prevent hearing damage.
Question 2 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 3 of 5
A nurse is reinforcing teaching with a client who has anemia and has a prescription for ferrous sulfate. Which of the following foods should the nurse recommend that the client consume to increase the absorption of this medication?
Correct Answer: B
Rationale: Raw oranges, high in vitamin C, enhance iron absorption by reducing it to a more soluble form.
Question 4 of 5
A nurse enters a client's room and sees smoke coming from the trash can next to the client's bed. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: Removing the client from the room ensures their immediate safety from smoke and fire exposure, following the RACE protocol.
Question 5 of 5
A nurse is contributing to the plan of care for a client who has an external fixation device in place to treat an open fracture of the tibia and fibula. Which of the following interventions should the nurse include?
Correct Answer: C
Rationale: Administering pain medication before pin care reduces discomfort, facilitating effective cleaning and infection prevention.