ATI LPN
ATI LPN Med Surg U13 Exam Questions
Extract:
Question 1 of 5
A male patient is being discharged after hospitalization for a bleeding peptic ulcer. The nurse is providing discharge teaching on how to monitor for signs of recurrent bleeding. Which of the following statements by the patient indicates a need for further teaching?
Correct Answer: B
Rationale: If I experience severe abdominal pain, I should take an over-the-counter antacid and rest: Severe pain requires immediate medical attention, not self-treatment with antacids, as it could indicate complications. Other statements are correct.
Question 2 of 5
A patient is recovering from a common bile duct exploration and has a T-tube drain in place. As the nurse, which action is most appropriate to ensure proper function and patient safety?
Correct Answer: D
Rationale: Maintain the drainage bag below the level of the abdomen: This promotes gravity drainage of bile, ensuring proper T-tube function. Flushing, prolonged clamping, or securing to the gown are not appropriate.
Question 3 of 5
A nurse is gathering data on a client who was admitted with pyelonephritis. Which of the following manifestations should the nurse expect the client to be exhibiting? (Select All that Apply.)
Correct Answer: B,C,D,E
Rationale: B, C, D, E: Hypertension, fishy urine odor, mental confusion (especially in elderly), and lower abdominal pain are associated with pyelonephritis. Frothy urine and weak urine stream are not typical.
Question 4 of 5
A patient with ascites has been admitted to your unit. Which of the following safety precautions should you reinforce to prevent complications?
Correct Answer: A
Rationale: Instruct the patient to change positions slowly: Ascites can cause orthostatic hypotension, so slow position changes prevent dizziness and falls. Avoiding activity, excess fluids, or tight clothing is not appropriate.
Question 5 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.