ATI LPN
PN Adult Medical Surgical 2020 Questions
Extract:
Question 1 of 5
A nurse is reviewing laboratory values of a client who has severe dyspnea. Which of the following laboratory values indicates heart failure?
Correct Answer: B
Rationale: Elevated BNP (275 pg/mL) indicates heart failure due to cardiac overload.
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 preparing to administer an intermittent enteral feeding to a client who has a nasogastric tube. Which of the following actions should be the priority for the nurse to take?
Correct Answer: B
Rationale: Elevating the bed to 30° prevents aspiration, a critical safety concern during enteral feeding.
Question 4 of 5
A nurse is reinforcing discharge teaching with the partner of a client who requires tracheal suctioning. Which of the following statements by the partner indicates an understanding of the teaching?
Correct Answer: B
Rationale: Suction pressure of 80-120 mmHg is safe and effective for tracheal suctioning.
Question 5 of 5
A nurse is assisting with the care of a client who is receiving chemotherapy and has a platelet count of 75,000/mm3. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Using an electric razor minimizes bleeding risk in thrombocytopenia.