ATI LPN
ATI LPN Med Surg U13 Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is experiencing an acute exacerbation of ulcerative colitis. The nurse should recognize that which of the following actions is the priority?
Correct Answer: D
Rationale: Evaluate fluid and electrolyte levels: Fluid and electrolyte imbalances from diarrhea and bleeding are critical during an exacerbation, making this the priority to prevent complications like dehydration or hypovolemia.
Question 2 of 5
A female patient presents to the emergency department with severe abdominal pain localized to the right lower quadrant, nausea, and a low-grade fever. After performing a physical examination and diagnostic imaging, the patient is diagnosed with acute appendicitis. What is the most appropriate initial intervention?
Correct Answer: D
Rationale: Prepare the patient for an appendectomy: Appendectomy is the standard treatment for acute appendicitis to prevent complications like perforation. Antibiotics alone, discharge, or diet/rest are not appropriate.
Question 3 of 5
A nurse is assisting with teaching a client who is preoperative for a sigmoid colostomy. Which of the following statements should the nurse include?
Correct Answer: D
Rationale: Your stoma will be located on the left side of your abdomen: A sigmoid colostomy is typically on the left lower quadrant. High-fiber avoidance, liquid output, and daily bag changes are incorrect.
Question 4 of 5
A patient with acute pancreatitis is being discharged from the hospital. Which statement made by the patient indicates a need for further teaching regarding their discharge instructions?
Correct Answer: B
Rationale: I can resume my high-fat diet once my symptoms improve: A high-fat diet can trigger another episode of pancreatitis, as fat stimulates pancreatic enzymes that can exacerbate the condition. The patient should follow a low-fat diet. Avoiding alcohol, taking medications as prescribed, and regular follow-ups are correct statements.
Question 5 of 5
A nurse is caring for a client who has an admitted diagnosis of renal calculi and medical history of hypertension and gout. The client works 6 days of the week outside in temperatures between 32.2° C to 37.8° C (90° F to 100° F). Which of the following should the nurse tell the client to prevent a reoccurrence of renal calculi?
Correct Answer: B
Rationale: Drink plenty of fluids during the day: Adequate hydration is the most important strategy to prevent the formation of renal calculi, especially in hot climates where fluid loss through sweat increases the risk. High oxalate and purine-rich foods can promote stone formation, and gout medication, while important, is not the primary intervention.