ATI LPN
ATI LPN Med Surg Exam 7 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who states he has a nevus that has increased in size and changed in color. On examination, the nurse notes an elevated two centimeter lesion that is dark brownish-black in color with irregular borders. The nurse should recognize that these findings are consistent with which of the following medical diagnoses?
Correct Answer: A
Rationale: The lesion's dark color, size increase, and irregular borders are characteristic of malignant melanoma, a rapidly metastasizing skin cancer.
Question 2 of 5
Assessment findings of a client presenting to the emergency room include cramping pain in the left lower quadrant, weakness, bloating high-pitched bowel sounds, and a low grade fever. Which of the following orders would the nurse anticipate?
Correct Answer: C
Rationale: Symptoms suggest possible bowel obstruction or diverticulitis; an NG tube decompresses the stomach, relieving obstruction symptoms. High-fiber diets worsen acute diverticulitis, prednisone is not first-line for diverticulitis, and increased meals are contraindicated during acute episodes.
Question 3 of 5
A nurse is caring for a client who has Alzheimer's disease and is confused. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Familiar items provide comfort and reduce confusion in Alzheimer's patients, creating a more secure environment.
Question 4 of 5
A nurse is providing discharge instructions to a client with hepatitis B. Which of the following statements should be included in the teaching?
Correct Answer: C
Rationale: Informing sexual partners about hepatitis B prevents transmission, as it is spread through blood and bodily fluids. Blood donation is prohibited, alcohol worsens liver damage, and follow-up is essential.
Question 5 of 5
The emergency room nurse is caring for a client just diagnosed with a bowel obstruction secondary to adhesions. Which of the following orders should the nurse complete first?
Correct Answer: B
Rationale: A nasogastric tube is essential for decompressing the stomach, relieving pressure, and preventing aspiration in bowel obstruction, making it the priority. IV fluids are important but potassium administration requires electrolyte assessment first. Drawing a metabolic panel is secondary to stabilization. Ambulation is contraindicated in acute bowel obstruction.