ATI LPN
ATI PN Adult Medical Surgical 2020 with NGN II 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: D
Rationale: An elevated brain natriuretic peptide (BNP) level (275 pg/mL) indicates heart failure, as BNP is released by the heart under stress from increased pressure or volume overload, unlike normal electrolyte levels.
Question 2 of 5
A nurse is reinforcing teaching with a client who has type 2 diabetes mellitus and a new prescription for metformin. Which of the following instructions should the nurse include in the teaching?
Correct Answer: B
Rationale: Reporting muscle pain immediately is crucial, as it may indicate lactic acidosis, a rare but serious metformin side effect.
Question 3 of 5
A nurse is reinforcing teaching about a transcutaneous electrical nerve stimulation (TENS) unit for a client who has a herniated intervertebral disk. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: B
Rationale: Adjusting the TENS unit to produce a tingling sensation ensures effective pain relief by blocking pain signals.
Question 4 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: D
Rationale: Suctioning removes secretions, improving ventilation and addressing restlessness and crackles in the lungs.
Question 5 of 5
A nurse is caring for a client who is receiving peritoneal dialysis. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Covering the pad prevents burns or irritation by avoiding direct skin contact, ensuring safe application during peritoneal dialysis.