ATI LPN
ATI PN adult Medical Surgical 2020 with NGN Exam 3 Questions
Extract:
Question 1 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: C
Rationale: A motion sensor mat alerts staff if the client attempts to get out of bed, helping prevent falls.
Question 2 of 5
A nurse is reinforcing teaching about meal planning with a client who has hypertension. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: D
Rationale: Vinegar is a low-sodium seasoning, suitable for hypertension management.
Question 3 of 5
A nurse is reinforcing teaching with a client who has psoriasis. Which of the following treatment options should the nurse include in the teaching?
Correct Answer: D
Rationale: Phototherapy is a common and effective treatment for psoriasis, using UV light.
Question 4 of 5
A nurse administered a dose of penicillin to a client 30 minutes ago. The client reports that she has hives and is itching. Which of the following statements by the nurse is the highest priority?
Correct Answer: B
Rationale: Difficulty breathing may indicate anaphylaxis, a medical emergency requiring immediate assessment.
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, what is the correct sequence the nurse should use to administer the medication?
Correct Answer: C, D, B, E, A
Rationale: The correct sequence for the Z-track technique is: cleanse the site (
C), pull the skin laterally (
D), insert the needle (
B), aspirate and inject (E), then remove the needle and release the tissue (
A).