ATI LPN
ATI LPN Med Surg U13 Exam Questions
Extract:
Question 1 of 5
A male presents to the emergency department with confusion, lethargy, and a decreased level of consciousness. His friends report that he ingested a large quantity of unknown pills in a suicide attempt. Laboratory results reveal severe metabolic acidosis, high anion gap, and elevated serum creatinine. Which of the following is the most urgent indication for initiating dialysis in this patient?
Correct Answer: A
Rationale: Overdose: Dialysis is indicated to clear toxins from an overdose causing metabolic acidosis and renal impairment. CKD, hypertension, or dehydration are not the primary reasons.
Question 2 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 3 of 5
A male presents to the emergency department with confusion, lethargy, and a decreased level of consciousness. His friends report that he ingested a large quantity of unknown pills in a suicide attempt. Laboratory results reveal severe metabolic acidosis, high anion gap, and elevated serum creatinine. Which of the following is the most urgent indication for initiating dialysis in this patient?
Correct Answer: A
Rationale: Overdose: Dialysis is indicated to clear toxins from an overdose causing metabolic acidosis and renal impairment. CKD, hypertension, or dehydration are not the primary reasons.
Question 4 of 5
A nurse is reinforcing teaching to a client who has been newly diagnosed with hepatitis C. The client asks how they could have contracted the virus. Which of the following nurse responses best explains how the client may have become infected with hepatitis C?
Correct Answer: B
Rationale: Coming into contact with infected blood: Hepatitis C is primarily spread through blood-to-blood contact, such as sharing needles. Food, saliva, or alcohol do not transmit hepatitis C.
Question 5 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.