ATI LPN
ATI PN Adult Medical Surgical 2020 with NGN II 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 hr earlier. Which of the following changes should the nurse identify as the priority finding?
Correct Answer: C
Rationale: A blood pressure drop to 86/50 mm Hg indicates hypotension, which can compromise tissue perfusion and requires immediate intervention to prevent organ damage.
Question 2 of 5
A nurse is reinforcing teaching with a client about testicular self-examination. Which of the following instructions should the nurse include?
Correct Answer: D
Rationale: Rolling the testes between the thumb and fingers allows detection of abnormalities, a key step in testicular self-examination.
Question 3 of 5
A nurse is reinforcing teaching with a client who is scheduled to have a colonoscopy. Which of the following information should the nurse include in the teaching?
Correct Answer: A
Rationale: Moderate sedation during the colonoscopy reduces anxiety and pain, allowing the procedure to proceed comfortably.
Question 4 of 5
A nurse is collecting data from an older adult client who has a potassium level of 3.2 mEq/L. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: Muscle weakness is a common symptom of hypokalemia (3.2 mEq/L), affecting neuromuscular function.
Question 5 of 5
A nurse is caring for a client who is dying and whose family is at the bedside. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Applying moisturizing lotion enhances comfort and quality of life for the dying client, addressing dry skin and providing care.