ATI LPN
ATI LPN Med Surg U13 Exam Questions
Extract:
Question 1 of 5
A female presents to the clinic with complaints of dysuria and increased urinary frequency. Which of the following findings on physical examination would most likely support a diagnosis of cystitis?
Correct Answer: B
Rationale: Suprapubic tenderness: This is a classic sign of cystitis, along with dysuria and frequency. Costovertebral tenderness suggests pyelonephritis, while distention and edema are unrelated.
Question 2 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 3 of 5
A female patient presents with right upper quadrant pain, nausea and vomiting. She has been diagnosed with acute cholecystitis. What is the most appropriate nursing action to alleviate her symptoms?
Correct Answer: C
Rationale: Administering prescribed intravenous analgesics: Pain management with IV analgesics is a priority for acute cholecystitis. Ginger tea, ice packs, and meals are not effective for acute symptoms.
Question 4 of 5
A nurse is contributing to the plan of care for a client who has an intestinal obstruction and is receiving continuous gastrointestinal decompression using a nasogastric tube. Which of the following interventions should the nurse include in the plan of care?
Correct Answer: A
Rationale: Measure abdominal girth daily: Measuring abdominal girth daily helps assess for changes in distention, which is important in monitoring the effectiveness of the decompression. Lemon-glycerin swabs can dry the oral mucosa, Fowler's position is appropriate but not the primary intervention here, and sterile water is not recommended for NG tube irrigation.
Question 5 of 5
During the process of collecting a comprehensive medical history from a client who has been admitted with pyelonephritis, which of the following symptoms or historical details would the nurse most likely expect the client to report?
Correct Answer: D
Rationale: A history of frequent urinary tract infections: Frequent urinary tract infections (UTIs) are a significant risk factor for developing pyelonephritis, as the infection can ascend from the bladder to the kidneys. Chronic headaches, gastrointestinal issues, and hypertension are not directly related to pyelonephritis.