ATI LPN
ATI PN Adult Med Surg 2020 with NGN Questions
Extract:
Question 1 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: B
Rationale: Ibuprofen can cause GI bleeding, leading to a false-positive fecal occult blood test. Breast cancer, citrus juice, and past hemorrhoidectomy don't affect results.
Question 2 of 5
A nurse working the night shift is caring for an older adult client who has dementia and is at risk for falls. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: A motion sensor mat alerts staff to movement, preventing falls. Moving the table doesn't address falls, side rails risk injury, and TV disrupts sleep.
Question 3 of 5
A nurse is collecting data from a client who is experiencing opioid toxicity. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: Opioid toxicity causes respiratory depression and hypotension. Diaphoresis and chest pain are unrelated, and pupils constrict (miosis), not dilate.
Question 4 of 5
A nurse is assisting with the care of a client who is postoperative following a total knee arthroplasty. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Ice packs reduce swelling post-arthroplasty. Dependent positioning increases swelling, CPM aids recovery, and bed rest risks complications.
Question 5 of 5
A nurse is preparing to administer ceftriaxone using the z-track technique to a client who has gonorrhea. After the nurse performs hand hygiene and reconstitutes the medication, identify the sequence the nurse should use to administer the medication.
Correct Answer: A,C,B
Rationale: Z-track sequence: pull skin laterally, aspirate and inject, then remove needle and release skin to prevent leakage and irritation.