ATI LPN
Medical Surgical Nursing Neurological Disorders Questions
Question 1 of 5
What is the preferred diet for a patient with cirrhosis with creased ammonia levels?
Correct Answer: C
Rationale: High ammonia in cirrhosis requires a low-protein diet (C) to reduce ammonia production from protein metabolism.
Question 2 of 5
Which practice guideline should the nurse implement when caring for the patient receiving enteral feedings?
Correct Answer: A
Rationale: GRV is typically checked every 4-6 hours (A), with 500 mL (C) as a concern threshold, not 100 mL (D).
Question 3 of 5
During the report using SBAR, the nurse states, 'Since we have just initiated a potassium replacement protocol, the patient will need a potassium level drawn at 1300.' This depicts:
Correct Answer: D
Rationale: This is a recommendation (D) in SBAR, suggesting a future action based on the situation.
Question 4 of 5
Which patient would probably not be a candidate for NPPV?
Correct Answer: C
Rationale: Drug overdose with shallow breathing (C) risks hypoventilation, contraindicating NPPV.
Question 5 of 5
The nurse admits a 35-year-old patient to the emergency department following a 3-day history of nausea and vomiting. Vital signs assessed by the nurse include a BP of 70/50 mm Hg, HR 145 beats/min, RR 36 breaths/min, and SpO2 of 92% on room air. The nurse recognizes which classification of shock?
Correct Answer: D
Rationale: Hypovolemic shock (D) matches fluid loss (vomiting), low BP, and tachycardia.