ATI LPN
ATI LPN Med Surg Exam 7 Questions
Extract:
Question 1 of 5
A nurse is assisting with the care of a client who has hypocalcemia. For which of the following signs should the nurse monitor?
Correct Answer: B
Rationale: Chvostek's sign, facial muscle twitching when tapping the facial nerve, indicates neuromuscular irritability due to hypocalcemia.
Question 2 of 5
The emergency room nurse is caring for a client just diagnosed with a bowel obstruction secondary to adhesions. Which of the following orders should the nurse complete first?
Correct Answer: B
Rationale: A nasogastric tube is essential for decompressing the stomach, relieving pressure, and preventing aspiration in bowel obstruction, making it the priority. IV fluids are important but potassium administration requires electrolyte assessment first. Drawing a metabolic panel is secondary to stabilization. Ambulation is contraindicated in acute bowel obstruction.
Question 3 of 5
A nurse is assisting with the plan of care for a client who has pneumonia and requires chest percussion, vibration, and postural drainage. Which of the following actions should the nurse plan to complete first?
Correct Answer: A
Rationale: Auscultating lung fields first identifies congestion areas, guiding effective positioning and techniques for chest physiotherapy.
Question 4 of 5
The nurse is caring for a client with cirrhosis, portal hypertension, and encephalopathy. Which of the following orders would be anticipated to lower the ammonia level? (Select All that Apply)
Correct Answer: A,D
Rationale: Rifaximin reduces ammonia-producing bacteria (
A), and lactulose traps and excretes ammonia (
D). Low sodium (
B) manages ascites, and low protein (
C) is less emphasized now to avoid malnutrition.
Question 5 of 5
The client diagnosed with acute diverticulitis is complaining of severe abdominal pain. On assessment, the nurse finds a hard, rigid abdomen and a temperature of 102 F. Which of the following is the highest priority?
Correct Answer: B
Rationale: A rigid abdomen and fever suggest perforation and peritonitis, a medical emergency requiring immediate provider notification for intervention. Antipyretics, enemas, and monitoring are secondary.