ATI LPN
ATI LPN Med Surg Questions
Extract:
A nurse is assessing a client who has advanced cirrhosis.
Question 1 of 5
Which of the following manifestations should the nurse expect to find?
Correct Answer: C
Rationale: Spider angioma. This is a manifestation that the nurse should expect to find in a client who has advanced cirrhosis, which is a chronic liver disease that causes scarring and impaired liver function. Spider angioma is a type of vascular lesion that appears as a red spot with radiating branches on the skin, usually on the face, neck, chest, or upper arms.
Extract:
A nurse is caring for a client who has Cushing's syndrome.
Question 2 of 5
Which of the following clinical manifestations should the nurse expect to observe? (Select all that apply.)
Correct Answer: A,C,E
Rationale: Purple striations, Buffalo hump, Moon face. These are caused by excess cortisol in Cushing's syndrome, leading to skin thinning, fat redistribution to the upper back, and facial rounding.
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 3 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 assisting with the plan of care for a client who is 4 hr postoperative from a subtotal thyroidectomy.
Question 4 of 5
Which of the following implementations should the nurse recommend?
Correct Answer: A
Rationale: Check for bleeding on the dressing at the back of the client's neck. This is an implementation that the nurse should recommend for a client who is 4 hr postoperative from a subtotal thyroidectomy, which is a surgical removal of part of the thyroid gland. The nurse should check for bleeding on the dressing at the back of the client's neck because this is where blood can pool and go unnoticed. Bleeding can cause hematoma, compression of the airway, and respiratory distress.
Extract:
A nurse is collecting data from a client who is African American and has cholecystitis.
Question 5 of 5
Which of the following areas should the nurse inspect to monitor for the presence of jaundice?
Correct Answer: D
Rationale: Hard palate. This is an area that the nurse should inspect to monitor for the presence of jaundice in a client who is African American and has cholecystitis, which is an inflammation of the gallbladder. The hard palate can show jaundice, especially in clients with dark skin tones.