ATI LPN
ATI Adult Medical Surgical Questions
Question 1 of 5
A client is admitted with a diagnosis of acute pancreatitis. Which laboratory value should the nurse monitor closely?
Correct Answer: A
Rationale: The correct answer is A: Serum amylase. In acute pancreatitis, there is inflammation of the pancreas leading to elevated serum amylase levels. Amylase is an enzyme produced by the pancreas, and increased levels indicate pancreatic injury. Monitoring serum amylase helps in diagnosing and assessing the severity of pancreatitis. Choice B: Serum sodium, and Choice D: Serum potassium may be affected in pancreatitis due to fluid shifts, but they are not specific markers for pancreatitis. Choice C: Serum calcium may also be affected in pancreatitis, but monitoring serum calcium is not as crucial as monitoring serum amylase for diagnosing and managing acute pancreatitis.
Question 2 of 5
A client with a history of peptic ulcer disease is admitted with severe abdominal pain. Which assessment finding should the nurse report to the healthcare provider immediately?
Correct Answer: C
Rationale: The correct answer is C: Rigid, board-like abdomen. This finding suggests peritonitis, a serious complication of peptic ulcer disease, requiring immediate medical intervention. A: Active bowel sounds are expected. B: Blood pressure is within normal range. D: Heart rate is slightly elevated but not a critical finding. In summary, a rigid abdomen indicates peritonitis and requires urgent attention compared to the other choices.
Question 3 of 5
A client is being discharged with a new prescription for enoxaparin (Lovenox). Which instruction should the nurse include?
Correct Answer: B
Rationale: The correct answer is B because expelling the air bubble from the syringe before injection helps ensure accurate dosage delivery and prevents air from being injected into the patient. Administering the injection in the thigh (A) is incorrect as enoxaparin is typically given in the abdomen. Massaging the injection site (C) can cause bruising or hematoma formation. Alternating injection sites between arms (D) is not relevant as enoxaparin is usually given in the abdomen.
Question 4 of 5
A client with heart failure is receiving intravenous furosemide (Lasix). Which assessment finding indicates that the medication is having the desired effect?
Correct Answer: A
Rationale: The correct answer is A: Decreased peripheral edema. Furosemide is a diuretic that helps to remove excess fluid from the body, which can reduce peripheral edema in patients with heart failure. This indicates that the medication is effectively reducing fluid overload in the body. Elevated blood pressure (choice B) would not be an expected outcome of furosemide use. Increased heart rate (choice C) is not a direct effect of furosemide and can indicate worsening heart failure. Decreased urine output (choice D) would be an adverse effect of furosemide and would indicate the medication is not working as intended.
Question 5 of 5
A client with peptic ulcer disease is prescribed ranitidine (Zantac). Which statement by the client indicates the need for further teaching?
Correct Answer: C
Rationale: Rationale: C is the correct answer. Ranitidine is usually taken on an empty stomach to maximize its effectiveness in reducing stomach acid production. Therefore, taking it with meals would decrease its efficacy. A, B, and D are incorrect because taking ranitidine at bedtime is common practice, smoking can worsen ulcer symptoms, and ranitidine does indeed reduce stomach acid.