ATI LPN
Medical Surgical ATI Proctored Exam Questions
Question 1 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 2 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 3 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.
Question 4 of 5
A client with portal hypertension who has developed ascites is scheduled for a paracentesis. What pre-procedure nursing intervention is essential?
Correct Answer: A
Rationale: The correct answer is A: Encourage the client to empty the bladder. Before a paracentesis, it's crucial to ensure the bladder is empty to prevent accidental puncture during the procedure. This reduces the risk of injury and complications. Options B and C are incorrect because they are not directly related to the safety of the paracentesis procedure. Option D is incorrect as placing the client in a supine position does not address the need to empty the bladder.
Question 5 of 5
What nursing intervention can help alleviate pruritus in a client with cirrhosis?
Correct Answer: C
Rationale: The correct answer is C: Applying emollients to the skin. Pruritus is common in cirrhosis due to bile salt accumulation. Emollients help hydrate and protect the skin, reducing itching. Antihistamines (A) may not be effective for pruritus in cirrhosis. High-protein diet (B) is unrelated to pruritus. Hot water baths (D) can worsen itching by drying out the skin.