ATI LPN
Medical Surgical ATI Proctored Exam Questions
Question 1 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 2 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 3 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.
Question 4 of 5
A client with newly diagnosed type 2 diabetes is preparing for discharge. Which statement by the client indicates a need for further teaching?
Correct Answer: A
Rationale: The correct answer is A because insulin shots are not only taken when blood sugar is high in type 2 diabetes. Insulin therapy may be prescribed by the doctor to be taken at specific times regardless of blood sugar levels to manage the condition effectively. Choice B is correct as it emphasizes the importance of lifestyle modifications in managing diabetes. Choice C is correct as monitoring blood sugar levels is crucial for managing diabetes. Choice D is correct as adherence to prescribed medication is essential in controlling blood sugar levels.
Question 5 of 5
A client with acute pancreatitis is admitted to the hospital. What is the priority nursing intervention for this client?
Correct Answer: C
Rationale: The priority nursing intervention for a client with acute pancreatitis is maintaining NPO status and administering IV fluids (Choice C). This is because pancreatitis causes inflammation of the pancreas, leading to digestive enzyme release and auto-digestion of pancreatic tissue. By keeping the client NPO, it helps rest the pancreas and decrease enzyme secretion, which can reduce further damage. Administering IV fluids is crucial to maintain hydration and replace lost fluids due to vomiting or decreased oral intake. Choices A, B, and D are incorrect as they focus on dietary interventions such as oral pancreatic enzymes, high-protein, or low-fat diet, which are not appropriate as initial priorities in the acute phase of pancreatitis.