ATI LPN
ATI LPN Med Surg U13 Exam Questions
Question 1 of 5
A female patient recently underwent a partial gastrectomy and is now presenting with symptoms of weakness, dizziness, and sweating, particularly after meals. Based on these symptoms, what is the most likely diagnosis?
Correct Answer: A
Rationale: Dumping Syndrome: Dumping syndrome is a common complication following gastrectomy, where food moves too quickly from the stomach to the small intestine. Symptoms such as weakness, dizziness, and sweating, particularly after meals, are characteristic of this condition. Peptic Ulcer Disease typically presents with epigastric pain. GERD is associated with heartburn and acid regurgitation. IBS involves bloating, abdominal discomfort, and altered bowel habits.
Question 2 of 5
During the process of collecting a comprehensive medical history from a client who has been admitted with pyelonephritis, which of the following symptoms or historical details would the nurse most likely expect the client to report?
Correct Answer: D
Rationale: A history of frequent urinary tract infections: Frequent urinary tract infections (UTIs) are a significant risk factor for developing pyelonephritis, as the infection can ascend from the bladder to the kidneys. Chronic headaches, gastrointestinal issues, and hypertension are not directly related to pyelonephritis.
Question 3 of 5
A patient with acute pancreatitis is being discharged from the hospital. Which statement made by the patient indicates a need for further teaching regarding their discharge instructions?
Correct Answer: B
Rationale: I can resume my high-fat diet once my symptoms improve: A high-fat diet can trigger another episode of pancreatitis, as fat stimulates pancreatic enzymes that can exacerbate the condition. The patient should follow a low-fat diet. Avoiding alcohol, taking medications as prescribed, and regular follow-ups are correct statements.
Question 4 of 5
A nurse is caring for a client who has an admitted diagnosis of renal calculi and medical history of hypertension and gout. The client works 6 days of the week outside in temperatures between 32.2° C to 37.8° C (90° F to 100° F). Which of the following should the nurse tell the client to prevent a reoccurrence of renal calculi?
Correct Answer: B
Rationale: Drink plenty of fluids during the day: Adequate hydration is the most important strategy to prevent the formation of renal calculi, especially in hot climates where fluid loss through sweat increases the risk. High oxalate and purine-rich foods can promote stone formation, and gout medication, while important, is not the primary intervention.
Question 5 of 5
A nurse is contributing to the plan of care for a client who has an intestinal obstruction and is receiving continuous gastrointestinal decompression using a nasogastric tube. Which of the following interventions should the nurse include in the plan of care?
Correct Answer: A
Rationale: Measure abdominal girth daily: Measuring abdominal girth daily helps assess for changes in distention, which is important in monitoring the effectiveness of the decompression. Lemon-glycerin swabs can dry the oral mucosa, Fowler's position is appropriate but not the primary intervention here, and sterile water is not recommended for NG tube irrigation.