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ATI PN ADULT MEDICAL SURGICAL WITH NGN QUESTIONS AND CORRECT ANSWERS RATED A+
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ATI PN ADULT MEDICAL SURGICAL WITH NGN QUESTIONS AND CORRECT ANSWERS RATED A+.
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Created By: A SolutionATI PN ADULT MEDICAL SURGICAL 2020-2024
WITH NGN QUESTIONS AND CORRECT
ANSWERS RATED A+
******NGN-QUESTION******
A nurse in a provider's office is reviewing the medical record of a client. Based on the
information provided in the medical record, which of the following findings places the client at
risk for breast cancer? (Click on the exhibit button for additional information about the client.
There are three tabs that contain separate categories of data.)
A. Race
B. Obstetric history
C. Biopsy result
D. BRCA1 result - ✔✔✔ ANSWER > D. BRCA1 result
A charge nurse is observing a newly licensed nurse care for a client who is at risk for falls.
Which of the following findings should the nurse identify as a risk factor for falls?
a) Instructs the client to wear their own socks to the bathroom
b) Keeps the client's bed in the low position
c) Positions the bedside table close to the client
d) Attaches the call light to the side rail of the
client's bed - ✔✔✔ ANSWER > A. Instructs the client to wear their own socks to the
bathroom
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Rationale:
Bathroom floor can be slippery -> If wearing socks -> patient might slip (increased risk for falls)
Option B patient will not likely be injured if fall occurs since bed is close to floor due to its low
position and patient does not have to step far off from bed to stand up -> decreasing risk for falls.
Option C patient does not need to get up to get things from bedside table, decreasing risk for
falls.
Option D since call light is close to patient, little mobility is needed, decreasing risk for falls.
A nurse in a long-term care facility is providing care for a client who has Alzheimer's disease
and is agitated. Which of the following interventions should the nurse implement?
a) Encourage the client to ambulate with a staff member.
b) Isolate the client in their room.
c) Apply bilateral wrist restraints to the client.
d) Administer a prescribed oral dose of trazodone to the client. - ✔✔✔ ANSWER >
A. Encourage the client to ambulate with a staff
member.
A nurse in a long-term care unit is assisting in the care of a client who has Alzheimer's disease.
Which of the following actions should the nurse take?
A. Alternate the client's daily routine
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B. Keep the lights dimmed.
C. Raise the four side rails on the client's bed.
D. Participate in reminiscence therapy with the client. - ✔✔✔ ANSWER > D. Participate
in reminiscence therapy with the client.
A nurse is assisting a provider with removing a client's lower-leg cast. Which of the following
statements by the nurse is appropriate?
a. "You can expect your leg muscles to look a little swollen."
b. "You should avoid elevating your leg while sitting."
c. "You should hold still to prevent injury to your skin."
d. "You can expect to feel pressure when we cut the cast." - ✔✔✔ ANSWER > d. "You
can expect to feel pressure when we cut the cast."
A nurse is assisting care of a client whose cardiac monitor suddenly displays ventricular
tachycardia. Which of the following is the priority nursing action?
a) Determine palpable pulse.
b) Begin chest compressions.
c) Perform immediate defibrillation.
d) Provide pulmonary ventilation. - ✔✔✔ ANSWER > A. Determine palpable pulse.
Rationale:
Assess first to know what the cause of ventricular tachycardia was. Can't start doing intervention
without knowing the cause.
A nurse is assisting in teaching a group of nurses about pain management for older adult clients.
Which of the following information should the nurse include in the teaching?
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-Use nonpharmacological measures as a substitute for pain medication.
-Withhold pain medication until the client reports a pain level of 6 or higher on a scale from 0 to
10.
-Reassess the effectiveness of the pain relief measures every 3 hr.
-Recognize that a cognitively impaired older adult client can Identify the intensity of pain. - ✔✔
✔ ANSWER > -Use nonpharmacological measures as a substitute for pain medication.
A nurse is assisting in the plan of care for a client who has thrombocytopenia. Which of the
following actions should the nurse include in the plan?
A. Initiate protective isolation for the client.
B. Administer Ibuprofen for mild headache.
C. Check the client for ecchymosis.
D. Instruct the client to shave with a disposable razor. - ✔✔✔ ANSWER > C. Check the
client for ecchymosis.
Rationale:
Thrombocytopenia is a medical condition characterized by low levels of platelets in the blood. It
can cause nosebleeds, bleeding gums, blood in urine, heavy
menstrual periods, and bruising. The priority goals of nursing care for a client with
thrombocytopenia include prevention and early detection of bleeding, as well as intervening
when bleeding occurs.
Therefore, the nurse should include checking the client for ecchymosis in the plan of care.
Ecchymosis is a medical term for a bruise, which is a common symptom of thrombocytopenia.
The nurse should also instruct the client to avoid activities that may cause injury or bleeding,
such as shaving with a disposable razor.
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