ATI LPN
ATI LPN Med Surg U13 Exam Questions
Extract:
Question 1 of 5
A female patient presents to the emergency department with severe abdominal pain localized to the right lower quadrant, nausea, and a low-grade fever. After performing a physical examination and diagnostic imaging, the patient is diagnosed with acute appendicitis. What is the most appropriate initial intervention?
Correct Answer: D
Rationale: Prepare the patient for an appendectomy: Appendectomy is the standard treatment for acute appendicitis to prevent complications like perforation. Antibiotics alone, discharge, or diet/rest are not appropriate.
Question 2 of 5
A nurse is providing education to a client who has recently been diagnosed with Crohn's disease. Which of the following explanations by the nurse best simplifies and explains the disorder in non-medical terms?
Correct Answer: C
Rationale: Crohn's disease has the appearance of a patchwork quilt with some areas that are clear and some with sores: This simplifies Crohn's skip lesion pattern for patients. Other options are either too technical or inaccurate.
Question 3 of 5
A nurse is reinforcing teaching about renal transplant with a newly licensed nurse. Which of the following clients should the nurse identify as having a contraindication for this procedure?
Correct Answer: B
Rationale: A client who has a history of IV drug abuse: IV drug abuse is a contraindication due to risks of non-compliance and infections. Pacemakers, normal BMI, and age are not contraindications.
Question 4 of 5
A patient with a history of ulcerative colitis presents to the clinic with complaints of fatigue, dizziness, and pallor. Upon further assessment, you suspect chronic blood loss. Which potential complication is most likely contributing to these symptoms?
Correct Answer: C
Rationale: Iron-deficiency anemia: Chronic blood loss from ulcerative colitis can cause iron-deficiency anemia, leading to fatigue, dizziness, and pallor. Dehydration, hyperkalemia, and electrolyte imbalances do not directly cause these symptoms.
Question 5 of 5
When caring for older adult clients at a long-term care facility, which of the following assessments should the nurse prioritize when evaluating for the risk and presence of urinary retention? (Select all that apply.)
Correct Answer: A,B,E
Rationale: A, B, E: Observing changes in urinary patterns, assessing for symptoms like hesitancy or incomplete emptying, and evaluating for bladder distention are key assessments for urinary retention. Overhydration can worsen retention, and applying pressure risks bladder injury.