ATI LPN
ATI LPN Med Surg Exam 7 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is using a patient-controlled analgesia (PCA) pump. The client's partner asks if she can press the button for the client while he is sleeping. Which of the following responses should the nurse make?
Correct Answer: D
Rationale: Only the client should use the PCA to prevent over-sedation, ensuring safe pain management based on their perceived need.
Question 2 of 5
A nurse in an urgent care center is caring for a client who is having an acute asthma exacerbation. After administering high-flow oxygen, which of the following actions is the nurse's highest priority?
Correct Answer: D
Rationale: Short-acting beta-adrenergic medication like albuterol quickly relieves bronchospasm, improving airflow in acute asthma exacerbations.
Question 3 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.
Question 4 of 5
The nurse is caring for a client diagnosed with cancer of the pancreas head who is complaining of nausea, severe epigastric pain, and jaundice. Which of the following stool characteristics can the nurse anticipate?
Correct Answer: B
Rationale: Pancreatic cancer can block the bile duct, preventing bilirubin from reaching the intestines, resulting in clay-colored stools. Blood-tinged stools suggest bleeding, not typical here. Brown stools are normal, and 'chalky' is not a standard term for this condition.
Question 5 of 5
A nurse is assessing clients in a health clinic for risk factors for contracting hepatitis. Which of the following clients is at risk for developing hepatitis C?
Correct Answer: C
Rationale: Hepatitis C is bloodborne and can be transmitted through contaminated needles, such as those used in tattooing if proper sterilization is not followed. Child care settings and raw shellfish are associated with hepatitis A, while travel to underdeveloped countries increases risk for hepatitis A and E, not C.