ATI LPN
PN Adult Medical Surgical 2020 Questions
Extract:
Question 1 of 5
A nurse is reinforcing teaching with a client who is at 34 weeks of gestation and has a new prescription for nifedipine. Which of the following adverse effects should the nurse include in the teaching?
Correct Answer: B
Rationale: Headache is a common side effect of nifedipine, a calcium channel blocker.
Question 2 of 5
A nurse is caring for a client who is postoperative following a right radical mastectomy. Which of the following actions should the nurse take to prevent the development of lymphedema?
Correct Answer: B
Rationale: Using the client's left arm for blood samples avoids procedures on the surgical side, reducing the risk of lymphedema by preventing additional stress on the lymphatic system.
Question 3 of 5
A nurse is assisting in the care of a client who had an ischemic stroke. Which of the following observations by the nurse indicates a need for an occupational therapy referral?
Correct Answer: D
Rationale: Fatigue during daily activities suggests functional deficits, warranting occupational therapy.
Question 4 of 5
A nurse is reviewing the results of a client's fecal occult blood screening test. Which of the following findings from the client's history should the nurse identify as potentially causing a false-positive result?
Correct Answer: A
Rationale: Ibuprofen can irritate the gastrointestinal mucosa, causing minor bleeding that may lead to a false-positive result.
Question 5 of 5
A nurse is caring for a client who is 24 hr postoperative following abdominal surgery. The client received an opioid analgesic 1hr ago and now reports a pain level of 2 on a scale of 0 to 10. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Repositioning relieves discomfort at a low pain level without additional medication.