ATI LPN
ATI LPN Med Surg Exam 7 Questions
Extract:
Question 1 of 5
A nurse is checking for paradoxical blood pressure on a client who has constrictive pericarditis. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: Pulsus paradoxus, a drop in systolic BP >10 mm Hg on inspiration, is characteristic of constrictive pericarditis due to impaired heart filling.
Question 2 of 5
Which of the following is a common risk factor for the development of pancreatic cancer?
Correct Answer: C
Rationale: Chronic pancreatitis increases pancreatic cancer risk due to prolonged inflammation. Hepatitis affects the liver, high-fiber diets are protective, and exercise reduces risk.
Question 3 of 5
A client with cirrhosis is scheduled for a paracentesis. Which of the following statements indicate that the client understands the purpose of the procedure?
Correct Answer: B
Rationale: Paracentesis removes ascitic fluid from the abdomen to relieve discomfort and respiratory compromise, making this the correct understanding. It does not cure liver disease, lower ammonia levels (managed by lactulose), or inherently reduce infection risk.
Question 4 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 5 of 5
A nurse is planning care for a client who has diverticulitis. The nurse should plan to monitor the client for which of the following complications of diverticulitis?
Correct Answer: C
Rationale: Peritonitis is a serious complication of diverticulitis due to perforation, causing severe symptoms. Dysphagia, Crohn's, and ulcerative colitis are unrelated conditions.