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 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 2 of 5
A charge nurse is reinforcing teaching about infection control with a newly licensed nurse. Which of the following actions by the newly licensed nurse indicates an understanding of the teaching?
Correct Answer: B
Rationale: Cleaning a blood spill with chlorine bleach effectively disinfects surfaces, demonstrating proper infection control.
Question 3 of 5
A nurse is caring for a client who has pneumonia with dyspnea. The client's ABG results are pH 7.30, PaCO2 50 mm Hg, HCO3 26 mEq/L. The nurse should recognize that the client has which of the following acid-base imbalances?
Correct Answer: D
Rationale: The ABG results show a low pH (7.30) and high PaCO2 (50 mm Hg), indicating respiratory acidosis, which aligns with impaired gas exchange and CO2 retention due to pneumonia.
Question 4 of 5
A nurse in an urgent care facility is collecting data from a client who was stung by a wasp. Which of the following findings indicates the client is experiencing anaphylaxis?
Correct Answer: B
Rationale: Difficulty swallowing indicates airway obstruction from swelling, a life-threatening sign of anaphylaxis requiring urgent intervention.
Question 5 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.