ATI LPN
ATI PN Adult Med Surg 2020 with NGN Questions
Extract:
Question 1 of 5
A nurse is reinforcing teaching with the partner of a client who has contact precautions in place for methicillin-resistant Staphylococcus aureus (MRSA). Which of the following statements by the client's partner indicates an understanding of the teaching?
Correct Answer: A
Rationale: Hand washing after leaving prevents MRSA spread. Gowns are needed only for fluid contact, gloves can't be reused, and clients shouldn't leave during precautions.
Question 2 of 5
A nurse is reinforcing teaching with a client about strategies to prevent hypertension. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: C
Rationale: Limiting sodium to 2,000 mg/day helps prevent hypertension. Fish intake, maintaining high BMI, and minimal exercise are less effective.
Question 3 of 5
A nurse is caring for a client who has a tracheostomy tube. Upon data collection, the nurse observes the client is restless and hears crackles in the lungs. Which of the following interventions should the nurse take?
Correct Answer: A
Rationale: Restlessness and lung crackles suggest secretions blocking the tracheostomy, requiring suctioning. Saline instillation, cuff checks, and humidification don't address acute obstruction.
Question 4 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: Pain medication before pin care reduces discomfort. Traction risks complications, neurovascular checks should be more frequent, and clamp adjustments are for specialists.
Question 5 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: Chlorine bleach effectively disinfects blood spills, reducing pathogen spread. Rolling linen risks contamination, hand hygiene at elbow level is incorrect, and back-to-front wiping increases UTI risk.