ATI LPN
ATI LPN Med Surg U13 Exam Questions
Extract:
Question 1 of 5
A male patient presents with complaints of chronic stomach pain and is diagnosed with a Helicobacter pylori infection. The physician decides to initiate triple therapy. Which combination of medications is most appropriate for this treatment?
Correct Answer: A
Rationale: Amoxicillin, Clarithromycin, and Omeprazole: This is the standard triple therapy for H. pylori, combining two antibiotics and a PPI to eradicate the bacteria and promote healing. Other options are less effective or used in different regimens.
Question 2 of 5
A male patient is admitted to the hospital with complaints of epigastric pain, which he describes as burning and gnawing. The pain occurs 2-3 hours after eating and is somewhat relieved by food or antacids. He has a history of smoking and occasional alcohol use. Upon assessment, the patient exhibits tenderness in the epigastric region, and his vital signs are stable. The patient is diagnosed with a peptic ulcer disease (PUD). Which of the following is the most appropriate nursing intervention for this patient?
Correct Answer: A
Rationale: Administer a proton pump inhibitor (PPI) as prescribed: PPIs reduce gastric acid production, promoting ulcer healing. High-fiber diets, frequent meals, or dairy are less effective or contraindicated.
Question 3 of 5
A nurse is caring for a client who has an admitted diagnosis of renal calculi and medical history of hypertension and gout. The client works 6 days of the week outside in temperatures between 32.2° C to 37.8° C (90° F to 100° F). Which of the following should the nurse tell the client to prevent a reoccurrence of renal calculi?
Correct Answer: B
Rationale: Drink plenty of fluids during the day: Adequate hydration is the most important strategy to prevent the formation of renal calculi, especially in hot climates where fluid loss through sweat increases the risk. High oxalate and purine-rich foods can promote stone formation, and gout medication, while important, is not the primary intervention.
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
A nurse is assisting with teaching a client who is preoperative for a sigmoid colostomy. Which of the following statements should the nurse include?
Correct Answer: D
Rationale: Your stoma will be located on the left side of your abdomen: A sigmoid colostomy is typically on the left lower quadrant. High-fiber avoidance, liquid output, and daily bag changes are incorrect.