ATI LPN
ATI LPN Med Surg Questions
Extract:
A nurse is planning care for a client who is 1 day postoperative following a partial bowel resection. The client requires a complete dressing change, total parenteral nutrition administration, daily weight and is reporting pain at a level of 6 on a 0 to 10 scale.
Question 1 of 5
Which of the following nursing actions should the nurse plan to complete first?
Correct Answer: C
Rationale: Administer pain medication. This is the priority nursing action because the nurse should follow the principle of Maslow's hierarchy of needs and address the client's physiological needs first. Pain can interfere with the client's healing process and affect their quality of life.
Extract:
A nurse is reinforcing teaching with a client who has diabetes mellitus type 1 about sick-day management.
Question 2 of 5
Which of the following is the priority action for the nurse to recommend to the client?
Correct Answer: A
Rationale: Monitor blood glucose levels every 4 hours. This is the priority action for the nurse to recommend to the client because it will help them detect and prevent hyperglycemia or hypoglycemia, which can lead to serious complications such as diabetic ketoacidosis or cerebral edema.
Extract:
A nurse is collecting data from a client who has gastroesophageal reflux disease (GERD) and reports having heartburn every night.
Question 3 of 5
Which of the following actions should the nurse identify as a contributing factor to the client's heartburn?
Correct Answer: A
Rationale: Drinking orange juice regularly. This is a contributing factor to the client's heartburn because orange juice is acidic and can irritate the esophageal mucosa and lower esophageal sphincter, causing reflux of gastric contents into the esophagus.
Extract:
A nurse is assisting with the care of a client who is 1 day postoperative following a thyroidectomy and reports severe muscle spasms of the lower extremities.
Question 4 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Determine the client's calcium level. This is the priority action for the nurse to take because the client might have hypocalcemia, which is a low level of calcium in the blood. Hypocalcemia can occur after a thyroidectomy due to accidental removal or damage of the parathyroid glands, which regulate calcium levels. Hypocalcemia can cause muscle spasms, tetany, paresthesia, and seizures.
Extract:
A nurse is reviewing the plan of care for a client experiencing an acute exacerbation of ulcerative colitis.
Question 5 of 5
Which of the following treatments should the nurse expect to administer?
Correct Answer: B
Rationale: A corticosteroid medication. This is a treatment that the nurse should expect to administer to a client with an acute exacerbation of ulcerative colitis, which is a chronic inflammatory bowel disease that causes ulcers and inflammation in the colon and rectum. A corticosteroid medication, such as prednisone, can reduce inflammation, suppress the immune system, and relieve symptoms such as diarrhea, bleeding, and pain.