ATI LPN
PN Adult Medical Surgical 2020 Questions
Extract:
Question 1 of 5
A nurse is reviewing the ABG values of a client who has pneumonia. Which of the following findings indicates the client is developing respiratory acidosis?
Correct Answer: D
Rationale: Elevated PaCO2 above 45 mmHg indicates respiratory acidosis due to impaired CO2 elimination.
Question 2 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: A
Rationale: Difficulty swallowing signals airway swelling, a hallmark of anaphylaxis.
Question 3 of 5
A nurse is reinforcing teaching with a client who has gout. Which of the following foods should the nurse instruct the client to avoid?
Correct Answer: D
Rationale: Red meat is high in purines, which can trigger gout flares.
Question 4 of 5
A nurse is preparing to administer heparin 15,000 units every 12 hr subcutaneously to a client who weighs 80 kg. Available is 10,000 units/mL. How many mL should the nurse administer with each dose?
Correct Answer: 1.5 mL
Rationale: Calculation: (15,000 units / 10,000 units/mL) = 1.5 mL per dose.
Question 5 of 5
A nurse is preparing to assist with serving a meal to a client who has vision loss. When delivering the meal tray, which of the following actions should the nurse take?
Correct Answer: B
Rationale: Describing food placement like a clock helps orient the client, promoting independence.