ATI PN Adult Medical Surgical 2020 with NGN | Nurselytic

Questions 80

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ATI PN Adult Medical Surgical 2020 with NGN Questions

Extract:


Question 1 of 5

A nurse is transporting a client who has pneumonia and is on droplet precautions to radiology. Which of the following safety measures should the nurse take while transporting the client?

Correct Answer: C

Rationale: The client wearing a mask prevents droplet spread of pneumonia during transport, per CDC guidelines.

Question 2 of 5

A nurse is assisting in the plan of care for a client who has constipation after receiving opioid medication for incisional pain. Which of the following actions should the nurse take first?

Correct Answer: A

Rationale: Auscultating bowel sounds assesses bowel motility, guiding further interventions for opioid-induced constipation.

Question 3 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 expected in hypokalemia (3.2 mEq/L), as low potassium impairs neuromuscular function.

Question 4 of 5

A nurse is caring for a client who has pneumonia with dyspnea. The client's ABG results are pH 7.30, PaCO2 50 mm Hg, HCO3 26 mEq/L. The nurse should recognize that the client has which of the following acid-base imbalances?

Correct Answer: D

Rationale: The ABG results show a low pH (7.30) and high PaCO2 (50 mm Hg), indicating respiratory acidosis, which occurs due to impaired gas exchange and carbon dioxide retention in conditions like pneumonia.

Question 5 of 5

A nurse is caring for a client who has a prescription for warfarin and a new order to start ceftriaxone. Which of the following laboratory values should the nurse monitor?

Correct Answer: A

Rationale: Warfarin's anticoagulant effect, monitored via prothrombin time, can be potentiated by ceftriaxone, increasing bleeding risk.

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