ATI LPN
ATI PN Adult Med Surg 2020 with NGN Questions
Extract:
Question 1 of 5
A nurse is reviewing vital signs obtained by an assistive personnel on a group of clients. The previous vital signs for each of the clients were obtained 4 hours earlier. Which of the following changes should the nurse identify as the priority finding?
Correct Answer: C
Rationale: A drop to 86/50 mm Hg suggests shock or hemorrhage, requiring urgent attention. Fever, respiratory rate, and heart rate changes are less critical.
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: B
Rationale: Difficulty swallowing indicates airway involvement in anaphylaxis, a life-threatening condition. Tinnitus, hypertension, and rashes are less specific.
Question 3 of 5
A nurse is caring for a client who has partial-thickness burns on 50% of his body and is receiving total parenteral nutrition. The nurse should actively monitor the client for which of the following?
Correct Answer: B
Rationale: TPN's high glucose content risks hyperglycemia, requiring monitoring. Calcium, bowel sounds, and abdominal pain are less directly related.
Question 4 of 5
A nurse is reinforcing teaching with a client who has diabetes mellitus about reducing the risk for a stroke. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: B
Rationale: Weight loss reduces stroke risk in diabetes. Glucocorticoids, low HbA1c, and normal cholesterol don't increase risk.
Question 5 of 5
A nurse is caring for a client who is 4 hr postoperative following an abdominal surgery and notes that the client's abdominal incision is open and the internal organs are protruding. After contacting the rapid response team, which of the following actions should the nurse take next?
Correct Answer: C
Rationale: A moist saline dressing protects protruding organs, preventing damage until surgery. Vital signs, positioning, and bed elevation are secondary.