ATI LPN
ATI LPN UT1 Med Surg Exam Questions
Question 1 of 5
A nurse is assisting with preparations for administering intravenous potassium replacement supplements to a client who has a potassium level of 2.5 mEq/L. Which of the following actions should the nurse plan to include? (Select all that apply.)
Correct Answer: C,D
Rationale: C: Potassium affects cardiac conduction, requiring monitoring to detect arrhythmias. D: Adequate urine output ensures kidneys can excrete excess potassium.
Extract:
History
A 50-year-old male presents with a 2-week history of persistent facial pain, nasal congestion, and a thick, yellowish nasal discharge.
He also reports a decreased sense of smell and worsening headache that seems to be localized around his forehead and cheekbones.
Examination
A 50-year-old male presents with a 2-week history of persistent facial pain, nasal congestion, and a thick, yellowish nasal discharge.
He also reports a decreased sense of smell and worsening headache that seems to be localized around his forehead and cheekbones.
Question 2 of 5
Which of the following is the most appropriate treatment for this patient, given the likely diagnosis of acute sinusitis?
Correct Answer: C
Rationale: Oral antibiotics are indicated for acute bacterial sinusitis lasting longer than 10 days to target the underlying infection.
Extract:
History
A 40-year-old male is brought to the emergency department following a motor vehicle accident. He exhibits severe respiratory distress and has a history of blunt trauma to the chest.
Physical examination
On physical examination, you notice paradoxical movement of the chest wall: during inspiration, the affected segment of the chest wall moves inward, and during expiration, it moves outward.
His breath sounds are diminished on auscultation over the affected area, and he has a noticeable decrease in oxygen saturation.
Question 3 of 5
What is the most appropriate initial management for this patient?
Correct Answer: B
Rationale: Paradoxical chest wall movement indicates flail chest with likely pneumothorax, requiring needle decompression and chest tube insertion to stabilize the patient.
Extract:
Question 4 of 5
A nurse is providing care to a client who has a history of asthma. The client presents with influenza symptoms that started the previous day. The provider orders an influenza test and prescribes an oral antiviral with instructions to begin the treatment as soon as possible. The client asks the nurse whether they can take the antiviral before the lab results are back. Which of the following responses by the nurse is appropriate?
Correct Answer: D
Rationale: Antivirals are most effective when initiated within 48 hours of influenza symptom onset, especially in high-risk individuals like those with asthma.
Question 5 of 5
A charge nurse is reinforcing teaching to a group of nurses about hydrostatic pressure. Which of the following should the nurse include as a contributor to hydrostatic pressure?
Correct Answer: C
Rationale: Hydrostatic pressure is primarily generated by the force of the heart's contraction, which pushes blood through the arteries and capillaries.