ATI LPN
ATI LPN Med Surg Exam 7 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has recurrent kidney stones and a history of diabetes mellitus. The client is scheduled for an intravenous pyelogram (IVP). The nurse should collect additional data about which of the following statements made by the client?
Correct Answer: B
Rationale: Metformin use prior to IVP raises lactic acidosis risk, necessitating further data to manage diabetes safely during the procedure.
Question 2 of 5
A nurse is caring for a client who is scheduled for a colonoscopy. The client asks the nurse if there will be a lot of pain during the procedure. Which of the following responses should the nurse make?
Correct Answer: C
Rationale: Mild cramping during a colonoscopy is common, and informing the client sets realistic expectations while noting sedation will manage discomfort.
Question 3 of 5
A nurse is preparing a young adult client who has a hearing impairment for surgery. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Keeping hearing aids in until the last moment facilitates communication, reducing anxiety and ensuring preoperative understanding.
Question 4 of 5
A nurse is caring for a client who has balanced skeletal traction with a Thomas splint for the treatment of a fracture of the femur. Which of the following actions should the nurse take to prevent skin breakdown?
Correct Answer: C
Rationale: Padding the splint with protective dressings reduces friction and pressure, preventing skin breakdown in traction.
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.