ATI LPN
ATI LPN Med Surg Exam 5 Questions
Extract:
Question 1 of 5
A 20-year-old male patient with a known history of hemophilia A is brought to the emergency department with swelling and pain in his right knee after a minor fall. Which of the following is the most appropriate initial nursing intervention?
Correct Answer: C
Rationale: Applying ice and elevating the leg reduces swelling and bleeding in hemophilia-related hemarthrosis, supporting initial management.
Question 2 of 5
A 65-year-old patient is admitted to the ICU with myxedema coma. Which of the following interventions is the priority for this patient?
Correct Answer: A
Rationale: IV levothyroxine is critical to rapidly correct severe hypothyroidism in myxedema coma, addressing life-threatening symptoms like hypothermia and bradycardia.
Question 3 of 5
A patient presents with a thyroid storm. Which of the following interventions is most appropriate to initially manage this condition?
Correct Answer: A
Rationale: Propranolol controls symptoms like tachycardia and hypertension in thyroid storm and inhibits T4 to T3 conversion, making it the initial intervention.
Question 4 of 5
A 45-year-old male patient presents to the emergency department with complaints of fatigue, muscle weakness, and weight loss. Upon examination, he is noted to have hyperpigmentation of the skin and hypotension. Laboratory tests reveal hyponatremia and hyperkalemia. Based on these findings, the patient is diagnosed with Addison's disease. Which interventions should the nurse anticipate for the management of this patient? (Select All that Apply.)
Correct Answer: A,C,D
Rationale: Encouraging a high-sodium diet helps counteract hyponatremia due to aldosterone deficiency. Administering IV corticosteroids replaces deficient hormones, stabilizing the patient. Monitoring blood glucose levels detects hypoglycemia from cortisol deficiency. Potassium supplements and diuretics are inappropriate as they worsen hyperkalemia and hyponatremia, respectively.
Question 5 of 5
A 65-year-old patient with newly diagnosed multiple myeloma presents with bone pain and fatigue. Which of the following is the most appropriate initial nursing intervention?
Correct Answer: D
Rationale: Administering analgesics and educating about pain management addresses the debilitating bone pain, improving quality of life and enabling participation in other therapies.