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ATI LPN Med Surg Exam 6 Questions

Extract:


Question 1 of 5

A nurse is caring for a client who reports to the clinic for laboratory tests. The client has an acute injury caused by acute tubular necrosis and asks why their glomerular filtration rate keeps decreasing. Which of the following pathophysiological changes occurring in the kidney should the nurse explain as the cause of decrease?

Correct Answer: Injury to renal tubular cells in acute tubular necrosis impairs their function, reducing the kidney's ability to filter blood, thus decreasing the glomerular filtration rate.

Rationale:

Question 2 of 5

A patient with Crohn's disease is experiencing an exacerbation. Which if the following symptoms should the nurse expect to find?

Correct Answer: Abdominal pain and cramping are hallmark symptoms of Crohn's disease exacerbations due to gastrointestinal inflammation.

Rationale:

Question 3 of 5

The nurse is caring for a patient with a T-tube following gallbladder surgery. Which of the following is the most important nursing action?

Correct Answer: Monitoring T-tube drainage ensures proper biliary function and detects obstructions, which is critical post-gallbladder surgery.

Rationale:

Question 4 of 5

The nurse is assessing a patient with suspected bacterial meningitis and notes a positive Kernig sign. How should the nurse interpret this finding?

Correct Answer: A positive Kernig sign, indicating meningeal irritation, is characterized by pain and resistance when extending the leg from a flexed hip and knee position.

Rationale:

Question 5 of 5

A client presents the emergency department with a Grade II ankle sprain. Which of the following interventions should the nurse implement?

Correct Answer: Applying ice for 24-72 hours reduces swelling and pain by causing vasoconstriction, which is essential in the acute phase of a Grade II ankle sprain.

Rationale:

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