ATI LPN
ATI LPN Med Surg Exam 7 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has Ménière's disease. When asked by the client if he is allowed to ambulate independently, which of the following responses should the nurse make?
Correct Answer: C
Rationale: Ménière's disease causes vertigo, increasing fall risk; requesting assistance for ambulation ensures safety while allowing mobility, preventing injuries due to sudden imbalance.
Question 2 of 5
The nurse has been assigned to provide care for four clients on the day shift. After hearing the 1500 hand-off report, which client does the nurse prioritize to see first?
Correct Answer: B
Rationale: Tachycardia and restlessness post-liver biopsy suggest possible internal bleeding, a life-threatening complication requiring immediate assessment. Pain, diarrhea, and minor drainage are less urgent.
Question 3 of 5
A nurse is caring for a client who is 1 day postoperative following a left radical mastectomy. Which of the following client behaviors should alert the nurse that the client is having difficulty adjusting to the loss of her breast?
Correct Answer: A
Rationale: Refusing to look at the incision suggests difficulty accepting the body change, indicating potential body image issues or emotional distress.
Question 4 of 5
The nurse is caring for a client with stable esophageal varices. Which of the following actions is most important?
Correct Answer: B
Rationale: Monitoring antihypertensive medications (e.g., beta-blockers) is critical to reduce portal hypertension and prevent variceal rupture in stable clients. Airway management is vital during bleeding, surgery is for severe cases, and occult testing is less relevant.
Question 5 of 5
A nurse is caring for a client who has a serum potassium level of 5.5 mEq/L. The provider prescribes polystyrene sulfonate. Which of the following ECG results should indicate to the nurse that the medication has been effective?
Correct Answer: A
Rationale: Reduced T wave amplitude indicates normalized potassium levels, as hyperkalemia causes peaked T waves, and polystyrene sulfonate lowers potassium.