ATI LPN
Medical Surgical ATI Proctored Exam Questions
Question 1 of 5
A client with hepatic encephalopathy exhibits confusion, difficulty arousing from sleep, and rigid extremities. Based on these clinical findings, what stage of hepatic encephalopathy should the nurse document?
Correct Answer: C
Rationale: The correct answer is C: Stage 3. In hepatic encephalopathy, Stage 3 is characterized by severe confusion, difficulty arousing from sleep, and potential development of rigid extremities due to worsening brain function. This stage indicates significant impairment and requires immediate medical attention. Stage 1 and 2 are milder forms with less severe symptoms, while Stage 4 represents coma and severe neurological dysfunction, which is beyond the presented symptoms. Therefore, based on the client's clinical findings of confusion, difficulty arousing from sleep, and rigid extremities, Stage 3 is the most appropriate stage to document.
Question 2 of 5
A client's healthcare provider has ordered a 'liver panel' in response to the client's development of jaundice. When reviewing the results of this laboratory testing, the nurse should expect to review what blood tests? Select one that doesn't apply.
Correct Answer: B
Rationale: The correct answer is B: C-reactive protein (CRP). A liver panel typically includes tests such as ALT, GGT, and AST to assess liver function, but CRP is not part of a standard liver panel. CRP is a marker of inflammation and infection, not specific to liver function. Therefore, when reviewing the results of a liver panel for a client with jaundice, the nurse should not expect to see CRP among the blood tests.
Question 3 of 5
A client with diabetes has a new prescription for 14 units of regular insulin and 28 units of NPH insulin subcutaneously at breakfast daily. What is the total number of units of insulin that should be prepared in the insulin syringe?
Correct Answer: A
Rationale: The correct answer is A: 42 units. To calculate the total number of units of insulin to be prepared in the syringe, you need to add the units of regular insulin (14 units) and NPH insulin (28 units). Therefore, 14 units + 28 units = 42 units. This is the total amount of insulin that should be drawn up and administered subcutaneously. Summary of other choices: B: 14 units - This is only the amount of regular insulin and doesn't include the NPH insulin. C: 28 units - This is only the amount of NPH insulin and doesn't include the regular insulin. D: 32 units - This is the sum of 14 units of regular insulin and 18 units of NPH insulin, which is incorrect as the NPH insulin prescribed is 28 units, not 18 units.
Question 4 of 5
A healthcare professional is preparing to administer digoxin 0.25 mg PO daily. The amount available is digoxin 0.125 mg tablets. How many tablets should the healthcare professional administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: B
Rationale: The correct answer is B: 2 tablets. To administer 0.25 mg of digoxin daily using 0.125 mg tablets, the healthcare professional should give 2 tablets. Each tablet is 0.125 mg, so 2 tablets will equal 0.25 mg, which is the required dose. The other choices are incorrect because administering 1 tablet would only provide 0.125 mg (half the required dose), administering 3 tablets would provide 0.375 mg (exceeding the required dose), and administering 4 tablets would provide 0.5 mg (double the required dose). Thus, the correct answer is to administer 2 tablets to achieve the prescribed 0.25 mg dose.
Question 5 of 5
Your patient has an order to receive Levothyroxine Sodium 75 mcg daily IV. You have a vial containing 100 mcg available from the pharmacy. According to the package insert, 5 mL of 0.9% sodium chloride is needed to reconstitute. You add the appropriate amount of sodium chloride to the vial. How many mcg of medication are in 1 mL of the vial?
Correct Answer: A
Rationale: The correct answer is A: 20 mcg. To determine the amount of medication in 1 mL of the vial, you first need to reconstitute the vial with 5 mL of sodium chloride. This will result in a total of 100 mcg of Levothyroxine Sodium in the vial. To find out how much medication is in 1 mL, you divide the total amount by the volume of the vial (100 mcg / 5 mL = 20 mcg/mL). Therefore, there are 20 mcg of medication in 1 mL of the vial. Choice B, C, and D are incorrect because they do not accurately calculate the amount of medication in 1 mL of the vial based on the given information and the reconstitution process.