ATI LPN
ATI LPN Med Surg Exam 5 Questions
Extract:
Question 1 of 5
A 72-year-old patient comes to the clinic complaining of sudden onset eye pain, nausea, and seeing halos around lights. The nurse notes that the patient's pupil is mid-dilated and non-reactive to light. What is the most likely cause of these symptoms?
Correct Answer: C
Rationale: Sudden eye pain, nausea, halos, and a mid-dilated pupil indicate narrow-angle glaucoma, a medical emergency.
Question 2 of 5
A 55-year-old patient with type 2 diabetes is admitted to the hospital and is on NPH insulin. The patient experiences symptoms of hypoglycemia. At what time after administration of NPH insulin should the nurse be most vigilant for signs of hypoglycemia due to the peak action of the insulin?
Correct Answer: B
Rationale: NPH insulin peaks 4-12 hours after administration, the period of highest hypoglycemia risk due to its glucose-lowering effect.
Question 3 of 5
A nurse is preparing a plan of care for a client who is postoperative for retinal detachment. Which of the following instructions should the nurse include in the plan of care?
Correct Answer: D
Rationale: Refraining from heavy lifting prevents increased intraocular pressure, supporting healing after retinal detachment surgery.
Question 4 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.
Question 5 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.