ATI LPN
ATI LPN Med Surg Exam 7 Questions
Extract:
Question 1 of 5
A nurse admits a client to the emergency department who reports nausea and vomiting that worsens when he lies down. Antacids do not help. The provider suspects acute pancreatitis. Which of the following laboratory test results should the nurse expect to see?
Correct Answer: A
Rationale: Increased serum amylase is a hallmark of acute pancreatitis due to pancreatic inflammation. Lipase is also elevated, calcium may decrease, and WBC is typically elevated.
Question 2 of 5
A nurse is reinforcing teaching with a client prescribed betamethasone for chronic osteoarthritis. Which of the following statements by the client indicates understanding of the teaching?
Correct Answer: C
Rationale: Alternate-day dosing of betamethasone reduces adrenal suppression, protecting adrenal function during long-term corticosteroid use.
Question 3 of 5
A nurse is checking for paradoxical blood pressure on a client who has constrictive pericarditis. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: Pulsus paradoxus, a drop in systolic BP >10 mm Hg on inspiration, is characteristic of constrictive pericarditis due to impaired heart filling.
Question 4 of 5
A nurse is caring for a client who is using a patient-controlled analgesia (PCA) pump. The client's partner asks if she can press the button for the client while he is sleeping. Which of the following responses should the nurse make?
Correct Answer: D
Rationale: Only the client should use the PCA to prevent over-sedation, ensuring safe pain management based on their perceived need.
Question 5 of 5
A nurse is caring for a client who is scheduled for a colonoscopy. The client asks the nurse if there will be a lot of pain during the procedure. Which of the following responses should the nurse make?
Correct Answer: C
Rationale: Mild cramping during a colonoscopy is common, and informing the client sets realistic expectations while noting sedation will manage discomfort.