ATI LPN
ATI LPN UT1 Med Surg Exam Questions
Extract:
Question 1 of 5
A nurse at a long-term care facility is reinforcing teaching with a newly hired nurse about the care of clients who are receiving mechanical ventilation. Which of the following information should the nurse include?
Correct Answer: B
Rationale: Elevating the head of the bed to 30-45° reduces the risk of ventilator-associated pneumonia by preventing aspiration.
Question 2 of 5
A nurse is caring for a client who is postoperative following a tracheostomy and has copious and tenacious secretions. Which of the following is an acceptable method for the nurse to use to thin this client's secretions?
Correct Answer: B
Rationale: Humidified oxygen moistens the airways, thinning secretions and making them easier to clear.
Question 3 of 5
A nurse is providing care to a client who has a history of asthma. The client presents with influenza symptoms that started the previous day. The provider orders an influenza test and prescribes an oral antiviral with instructions to begin the treatment as soon as possible. The client asks the nurse whether they can take the antiviral before the lab results are back. Which of the following responses by the nurse is appropriate?
Correct Answer: D
Rationale: Antivirals are most effective when initiated within 48 hours of influenza symptom onset, especially in high-risk individuals like those with asthma.
Question 4 of 5
A nurse is providing care to a client who reports facial pain, including dental pain in the upper teeth. Which of the following additional symptoms would lead the nurse to suspect sinusitis as the source of the pain?
Correct Answer: C
Rationale: Persistent nasal congestion despite decongestants or antihistamines suggests sinusitis, indicating inflammation or infection in the sinuses.
Question 5 of 5
A nurse is caring for several clients on a medical-surgical unit. Which of the following clients have an elevated risk for hypocalcemia?
Correct Answer: A,B,D,E
Rationale: A: Renal failure reduces vitamin D activation, lowering calcium absorption. B: Thyroidectomy can damage parathyroids, affecting calcium regulation. D: Vitamin D deficiency impairs calcium absorption. E: Bisphosphonates inhibit bone resorption, potentially lowering calcium levels.