ATI LPN
ATI PN Adult Medical Surgical 2019 Questions
Question 1 of 4
A client with a history of myocardial infarction (MI) is prescribed atorvastatin (Lipitor). Which outcome indicates that the medication is effective?
Correct Answer: B
Rationale: The correct answer is B: Lowered cholesterol levels. Atorvastatin is a statin medication used to lower cholesterol levels, reducing the risk of further cardiovascular events in patients with a history of MI. Lowering cholesterol helps prevent plaque buildup in arteries, reducing the likelihood of another MI. Increased blood pressure (A) and decreased heart rate (C) are not direct indicators of atorvastatin's effectiveness. Improved liver function (D) may be a consideration due to potential side effects, but the primary goal of atorvastatin is to lower cholesterol levels to prevent cardiovascular events.
Question 2 of 4
The nurse is planning care for a 16-year-old with juvenile rheumatoid arthritis (JRA). The nurse includes activities to strengthen and mobilize the joints and surrounding muscles. Which physical therapy regimen should the nurse encourage the adolescent to implement?
Correct Answer: A
Rationale: The correct answer is A: Exercise in a swimming pool. This option is ideal for a 16-year-old with JRA because it provides a low-impact environment that helps strengthen muscles and improve joint mobility without putting excessive stress on the joints. Swimming also helps reduce pain and stiffness associated with JRA. Choice B (Splint affected joints during activity) is incorrect because splinting may restrict movement and hinder muscle strengthening. Choice C (Perform passive range of motion exercises twice daily) is not as effective as active exercises in improving muscle strength and joint mobility. Choice D (Begin a training program of lifting weights and running) can be too high-impact and may exacerbate joint inflammation and pain in individuals with JRA.
Question 3 of 4
The mental health nurse observes that a female client with delusional disorder carries some of her belongings with her because she believes that others are trying to steal them. Which nursing action will promote trust?
Correct Answer: B
Rationale: Step 1: Initiating short, frequent contacts with the client will promote trust by establishing a consistent and supportive presence. Step 2: This approach allows the nurse to build rapport and demonstrate genuine concern for the client's well-being. Step 3: Regular interactions can help the client feel understood and supported, leading to a more trusting relationship. Step 4: By maintaining frequent contact, the nurse can monitor the client's well-being and provide reassurance as needed. Step 5: This proactive approach fosters trust and a therapeutic alliance, enhancing the client's overall care experience.
Question 4 of 4
A client who participates in a health maintenance organization (HMO) needs a bone marrow transplant for the treatment of breast cancer. The client tells the nurse that she is concerned that her HMO may deny her claim. What action by the nurse best addresses the client's need at this time?
Correct Answer: B
Rationale: The correct answer is B: Help the client place a call to the HMO to seek information about limitations of coverage. This is the best action because it directly addresses the client's concern by clarifying the coverage for the bone marrow transplant. By contacting the HMO, the client can get accurate information on whether the transplant is covered and what steps need to be taken for approval. This empowers the client to make informed decisions regarding their healthcare. Choice A is incorrect because having the healthcare provider write a letter may not directly address the client's concerns about coverage. Choice C is incorrect as contacting a lawyer should be a last resort after exploring other options. Choice D is incorrect as involving the state board of insurance is not necessary at this stage and may escalate the situation unnecessarily.