ATI LPN
ATI LPN Med Surg Exam 5 Questions
Extract:
Question 1 of 5
A 45-year-old female patient presents with symptoms of weight loss, palpitations, and heat intolerance. Laboratory results reveal elevated T3 and T4 levels and suppressed TSH levels. Considering her clinical presentation and lab results, which of the following treatments is most appropriate for managing her hyperthyroidism?
Correct Answer: C
Rationale: Radioactive iodine destroys overactive thyroid cells, providing a definitive treatment for hyperthyroidism, suitable for the patient's condition.
Question 2 of 5
A nurse in a provider's office is collecting data from an older adult client who has type 2 diabetes mellitus. Which of the following findings is a manifestation of hyperglycemia?
Correct Answer: B
Rationale: Poor wound healing is a manifestation of hyperglycemia, as high glucose impairs immune function and blood flow.
Question 3 of 5
A 45-year-old male patient presents with complaints of severe headaches, visual disturbances, and joint pain. Upon further investigation, he is diagnosed with hyperpituitarism. Which of the following is the most likely underlying cause of his symptoms?
Correct Answer: B
Rationale: Pituitary adenoma is the most common cause of hyperpituitarism, leading to hormone overproduction causing headaches, visual issues, and joint pain.
Question 4 of 5
A patient presents with a retinal detachment and is being evaluated for appropriate treatment. Which of the following procedures is used to treat retinal detachment by indenting the wall of the eye?
Correct Answer: A
Rationale: Scleral buckling indents the eye wall to reattach the retina, treating retinal detachment effectively.
Question 5 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.