ATI LPN
ATI LPN Med Surg Exam 7 Questions
Extract:
Question 1 of 5
A client admitted with liver cancer and jaundice. Which of the following skin deposits are related to jaundice and cause itching?
Correct Answer: C
Rationale: Bile salts accumulate in the skin due to liver dysfunction, causing pruritus in jaundice. Ammonia affects the brain, nitrogen is linked to renal issues, and protein does not cause itching.
Question 2 of 5
A nurse in a PACU is assessing a client who has a newly created colostomy. Which of the following findings should the nurse report to the provider?
Correct Answer: C
Rationale: A purplish stoma indicates ischemia or poor perfusion, requiring immediate reporting. Oozing red drainage and a rosebud-like, shiny, moist stoma are normal postoperative findings.
Question 3 of 5
A nurse is reviewing the medical record of a client who has a peptic ulcer. Which of the following findings should the nurse identify as a risk factor for this condition?
Correct Answer: B
Rationale: Ibuprofen, an NSAID, irritates the stomach lining and reduces protective mucus, increasing the risk of peptic ulcer formation.
Question 4 of 5
A nurse is caring for a client who has balanced skeletal traction with a Thomas splint for the treatment of a fracture of the femur. Which of the following actions should the nurse take to prevent skin breakdown?
Correct Answer: C
Rationale: Padding the splint with protective dressings reduces friction and pressure, preventing skin breakdown in traction.
Question 5 of 5
Which of the following is a characteristic feature of irritable bowel syndrome?
Correct Answer: B
Rationale: IBS is characterized by a change in bowel habits, which may include alternating episodes of constipation and diarrhea. Weight loss and malnutrition are not typical; they suggest other conditions like inflammatory bowel disease. Severe rectal bleeding is not associated with IBS but with conditions like hemorrhoids or colorectal cancer. Fever and leukocytosis indicate systemic inflammation, not IBS.