ATI LPN
ATI LPN Med Surg Exam 5 Questions
Extract:
Question 1 of 5
A 45-year-old female patient presents with symptoms of tingling in the fingers, muscle cramps, and fatigue. Her laboratory results show low serum calcium, low parathyroid hormone (PTH) levels, and elevated serum phosphate levels. Based on these lab results, which of the following is the most likely diagnosis?
Correct Answer: D
Rationale: Low serum calcium, low PTH, and high phosphate levels are characteristic of hypoparathyroidism, causing symptoms like tingling and muscle cramps.
Question 2 of 5
A nurse is reinforcing teaching about a tonometry examination with a client who has manifestations of glaucoma. Which of the following statements should the nurse include in the teaching?
Correct Answer: A
Rationale:
Tonometry measures intraocular pressure, a key factor in glaucoma management to prevent optic nerve damage.
Question 3 of 5
A 55-year-old female presents with symptoms of fatigue, muscle weakness, and depression. Laboratory results reveal elevated calcium levels and increased parathyroid hormone (PTH) levels. Which of the following is the most likely cause of her hyperparathyroidism?
Correct Answer: A
Rationale: Parathyroid adenoma is the most common cause of primary hyperparathyroidism, leading to elevated PTH and calcium, causing fatigue and weakness.
Question 4 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 5 of 5
A patient presents with severe ear pain, itching, and discharge from the ear. Upon examination, the external auditory canal is swollen and red. Which of the following is the most appropriate initial intervention for a patient diagnosed with otitis externa?
Correct Answer: D
Rationale:
Topical antibiotics and corticosteroids effectively treat infection and inflammation in otitis externa, reducing symptoms.