ATI LPN
ATI LPN Med Surg Cohort 6 Exam Questions
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 1 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.
Extract:
Question 2 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.
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 caring for a client who is 1 day postoperative following an open thoracotomy. The client is receiving oxygen mist at 40% by face tent. The client's SPO2 is 89-96%. ABG results are: pH 7.31, PaO2 93 mm Hg, PCO2 50 mm Hg, HCO3 25 mEq/L. Which of the following is an appropriate action by the nurse?
Correct Answer: B
Rationale: High-Fowler's position and respiratory exercises improve ventilation, addressing mild respiratory acidosis indicated by elevated PCO2.
Question 5 of 5
What is the common factor for etiology and pathophysiology of folliculitis, furuncles, and carbuncles?
Correct Answer: C
Rationale: These conditions all involve bacterial infection or inflammation of hair follicles, primarily by Staphylococcus aureus.