ATI LPN
PN ADULT MEDICAL SURGICAL 2023 Questions
Extract:
Question 1 of 5
A nurse is assisting with the care of a postoperative client who has developed malignant hyperthermia. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: A cooling blanket lowers body temperature in malignant hyperthermia, a life-threatening condition. Meperidine, warm enemas, and oxygen alone don't address the hyperthermia directly.
Question 2 of 5
A nurse is caring for a client who has a new diagnosis of tuberculosis (TB). The client asks the nurse why she needs to take four different antituberculotic medications. Which of the following replies should the nurse make?
Correct Answer: A
Rationale: Multiple medications prevent resistance in TB treatment, as Mycobacterium tuberculosis can quickly adapt to a single drug, necessitating a combination regimen.
Question 3 of 5
A nurse is reinforcing teaching about environmental modifications in the home with a family member of a client who has Alzheimer's disease. Which of the following information should the nurse include in the teaching?
Correct Answer: B
Rationale: Locks at the top of doors prevent wandering, a safety concern in Alzheimer's. TV can agitate, rugs are a fall risk, and caregiver scheduling isn't an environmental modification.
Question 4 of 5
A nurse is reinforcing teaching with a client who has gastroesophageal reflux (GERD). Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: B
Rationale: Six small meals reduce stomach pressure and reflux in GERD. Orange juice can worsen reflux, lying down post-meal increases it, and sleeping flat doesn't help.
Question 5 of 5
A nurse is collecting data from a client who has Cushing's syndrome. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: Easy bruising is expected in Cushing's syndrome due to excess cortisol thinning the skin and weakening blood vessels. Jaundice, rigidity, and weight loss are not typical.