ATI LPN
ATI PN Adult Medical Surgical 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 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 lead to organ failure, making it the priority finding requiring immediate intervention.
Question 2 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 lead to organ failure, making it the priority finding requiring immediate intervention.
Question 3 of 5
A nurse is contributing to the plan of care for a client who reports difficulty eating due to chronic arthritis. Which of the following interventions should the nurse include in the plan?
Correct Answer: D
Rationale: Foam handles improve grip on utensils, enhancing self-feeding ability for clients with arthritis.
Question 4 of 5
A nurse is reinforcing teaching with a client who has diabetes mellitus and a new prescription for insulin glargine. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: B
Rationale: Storing insulin glargine in the refrigerator maintains its stability, indicating proper understanding of storage instructions.
Question 5 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 indicates proper use, blocking pain signals effectively.