ATI LPN
ATI LPN Med Surg U13 Exam Questions
Question 1 of 5
A patient with a history of Gastroesophageal Reflux Disease (GERD) comes to the clinic for a follow-up visit. The nurse is providing education on health prevention measures to manage GERD symptoms. Which of the following statements by the patient indicates a correct understanding of the nurse's teaching?
Correct Answer: D
Rationale: I should avoid eating meals at least 2-3 hours before bedtime: This prevents acid reflux when lying down. Large meals, peppermint tea, and lying down after eating worsen GERD.
Question 2 of 5
A nurse is reinforcing teaching with a client who has end-stage liver disease and a recent diagnosis of thrombocytopenia. Which of the following statements provides the best recommendation to prevent complications of bleeding?
Correct Answer: D
Rationale: Only use a soft-bristle toothbrush: A soft-bristle toothbrush reduces gum bleeding risk in thrombocytopenia. Visualizing skin, flossing, or ice packs are less effective preventive measures.
Question 3 of 5
A patient with ascites has been admitted to your unit. Which of the following safety precautions should you reinforce to prevent complications?
Correct Answer: A
Rationale: Instruct the patient to change positions slowly: Ascites can cause orthostatic hypotension, so slow position changes prevent dizziness and falls. Avoiding activity, excess fluids, or tight clothing is not appropriate.
Question 4 of 5
A male patient presents with complaints of chronic stomach pain and is diagnosed with a Helicobacter pylori infection. The physician decides to initiate triple therapy. Which combination of medications is most appropriate for this treatment?
Correct Answer: A
Rationale: Amoxicillin, Clarithromycin, and Omeprazole: This is the standard triple therapy for H. pylori, combining two antibiotics and a PPI to eradicate the bacteria and promote healing. Other options are less effective or used in different regimens.
Question 5 of 5
A male patient is admitted to the hospital with complaints of epigastric pain, which he describes as burning and gnawing. The pain occurs 2-3 hours after eating and is somewhat relieved by food or antacids. He has a history of smoking and occasional alcohol use. Upon assessment, the patient exhibits tenderness in the epigastric region, and his vital signs are stable. The patient is diagnosed with a peptic ulcer disease (PUD). Which of the following is the most appropriate nursing intervention for this patient?
Correct Answer: A
Rationale: Administer a proton pump inhibitor (PPI) as prescribed: PPIs reduce gastric acid production, promoting ulcer healing. High-fiber diets, frequent meals, or dairy are less effective or contraindicated.