ATI LPN
ATI LPN Med Surg Exam 5 Questions
Extract:
Question 1 of 5
A 21-year-old patient with a known history of sickle cell anemia presents to the emergency department with severe pain in the lower back and joints, fatigue, and fever. What is the most likely cause of these symptoms?
Correct Answer: C
Rationale: Vaso-occlusive crisis is a common complication of sickle cell anemia, where sickled red blood cells block blood flow, causing severe pain, fever, and fatigue, matching the patient's symptoms.
Question 2 of 5
A 78-year-old patient comes to the clinic with complaints of difficulty seeing faces and reading small print. The patient is diagnosed with macular degeneration. Which of the following interventions should the nurse prioritize to help manage the patient's condition?
Correct Answer: B
Rationale: Quitting smoking slows macular degeneration progression, addressing a key modifiable risk factor.
Question 3 of 5
A nurse is reinforcing teaching of a female client who has a family history of type 2 diabetes mellitus. The nurse should include which of the following risk factors for developing type 2 diabetes mellitus in the teaching?
Correct Answer: A
Rationale: A sedentary lifestyle increases obesity risk, a major factor in insulin resistance and type 2 diabetes development.
Question 4 of 5
A nurse is providing care for an older adult client who has hyperglycemia, polydipsia, and polyuria. Which of the following manifestations supports the clinical presentation of hyperosmolar hyperglycemic syndrome (HHS)? (Select All that Apply.)
Correct Answer: B,C,D,F
Rationale: Fever, older age, high serum glucose, and insidious onset are characteristic of HHS, unlike acetone breath and low bicarbonate, which suggest DKA.
Question 5 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 the priority to correct severe hypothyroidism in myxedema coma, addressing critical symptoms like hypothermia and altered mental status.