ATI LPN
ATI LPN Med Surg Cohort 6 Exam Questions
Extract:
Question 1 of 5
A nurse is assessing a patient with hypokalemia, she notes that the patient's handgrip strength has diminished since the previous assessment 1 hour ago. What action does the nurse take first?
Correct Answer: A
Rationale: Hypokalemia can weaken respiratory muscles, so assessing respiratory status is critical to detect compromise.
Question 2 of 5
A nurse evaluates the following arterial blood gas values in a patient: pH 7.48, PaO2 98 mm Hg, PaCO2 28 mm Hg, and HCO3 - 22 mEq/L (22 mmol/L). Which patient condition does the nurse correlate with these results?
Correct Answer: C
Rationale: High pH and low PaCO2 indicate respiratory alkalosis, consistent with hyperventilation from anxiety.
Question 3 of 5
A 30-year-old African American had surgery 6 months ago and the incision site is now raised, indurated, and shiny. This is most likely which type of tissue growth?
Correct Answer: B
Rationale: Keloids are raised, firm, shiny scars common in African Americans, extending beyond the original wound.
Question 4 of 5
A nurse is giving a preoperative patient a dose of famotidine (Pepcid). The patient asks why the nurse is giving this drug when the patient has no history of ulcers. What response by the nurse is best?
Correct Answer: C
Rationale: Famotidine reduces stomach acid, helping prevent stress-induced ulcers during surgery, providing a clear and accurate explanation.
Extract:
History and Physical
0820:
20-year-old client presents to the emergency department with severe burns. Client Is grimacing and rates pain as 5 on a scale of 0 to 10. Patent airway, No Increased work of breathing.
Vital signs
0820:
• Blood pressure 140/80mmHg
• Heart rate 110/min
• Respiratory rate 25/min
• SaO2 98% on room air
• Temp 36.1 degrees
Assessment
2030:
Client is screaming and crying in pain. Client reports pain as 10 on a scale of 0 to 10. Client is very anxious and is breathing rapidly. Patent airway. Lungs are clear to auscultation bilaterally.
Question 5 of 5
A nurse is assisting in the care of a client who has severe burns. Which of the following actions should the nurse take when caring for a client who has severe burns? Select all that apply.
Correct Answer: B,D
Rationale: Opioids manage severe pain, and benzodiazepines address anxiety, both critical in burn care; ice water and antibiotics are not routinely indicated.