ATI LPN
ATI PN Adult Med Surg 2020 with NGN Questions
Extract:
Question 1 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: C
Rationale: Fasting except water for 12 hours ensures a clear colon. Longer clear liquid diets, separate polyp procedures, and early enemas aren't standard.
Question 2 of 5
A nurse has received change-of-shift report for four clients. Which of the following clients should the nurse attend to first?
Correct Answer: B
Rationale: A separating incision suggests wound dehiscence, a surgical emergency requiring immediate attention. C. difficile stools, clear sputum, and moderate pain are less urgent.
Question 3 of 5
A nurse is reinforcing teaching with a client who has chronic kidney disease about dietary modifications. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: B
Rationale: Limiting potassium prevents hyperkalemia in kidney disease. Protein is restricted, dairy increases phosphorus, and grains don't address key restrictions.
Question 4 of 5
A nurse is contributing to the plan of care for a client who has disuse syndrome following cast removal from a lower extremity. Which of the following referrals should the nurse include in the plan of care?
Correct Answer: D
Rationale: Occupational therapy improves daily function in disuse syndrome. Social workers, herbalists, and dietitians don't address physical function directly.
Question 5 of 5
A nurse is caring for a client who is experiencing muscle spasms and has a new prescription for an aquathermia pad. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Covering the aquathermia pad prevents burns. Sterile water isn't needed, 45-minute application risks injury, and pins can puncture the pad.