ATI LPN
ATI LPN Med Surg Concept 2 Exam Questions
Extract:
Question 1 of 5
A nurse is collecting data from a client who has peptic ulcer disease. Which of the following findings is a manifestation of gastrointestinal perforation?
Correct Answer: B
Rationale: Severe upper abdominal pain is a hallmark symptom of gastrointestinal perforation. Perforation can lead to the leakage of gastric contents into the peritoneal cavity, causing intense, sharp pain in the upper abdomen. The pain may be sudden and severe and can radiate to the back or shoulders.
Question 2 of 5
Management of asthma involves avoidance of triggers. Which environmental triggers will the nurse suggest the patient eliminate? Select all that apply.
Correct Answer: B,C,D,E
Rationale: B. Beta-blocking medications can worsen asthma symptoms by constricting the airways. C. Exposure to secondhand smoke is a well-established trigger for asthma symptoms. D. Carpeting and drapes can harbor dust mites, pet dander, and other allergens. E. Pets can be potent allergens for individuals with asthma.
Question 3 of 5
Which patient does the LPN/LVN identify at high risk for hospital-acquired pneumonia?
Correct Answer: C
Rationale: This patient is at high risk for hospital-acquired pneumonia. After a splenectomy (removal of the spleen), patients may experience pain and discomfort, which can make them reluctant to perform necessary activities like coughing and deep breathing. These activities are crucial for preventing lung complications such as atelectasis and pneumonia.
Question 4 of 5
Which client would the nurse identify as high risk for developing aspiration pneumonia?
Correct Answer: D
Rationale: Patients who have had a stroke are at high risk for aspiration pneumonia due to potential impairment of their swallowing mechanisms and decreased gag reflex.
Question 5 of 5
A nurse is collecting data from a client who has gastroesophageal reflux disease (GERD) and reports having heartburn every night. Which of the following actions should the nurse identify as a contributing factor to the client's heartburn?
Correct Answer: B
Rationale: Orange juice is highly acidic and can irritate the esophagus, leading to increased heartburn symptoms. Regular consumption of acidic beverages like orange juice can exacerbate GERD symptoms, making this a likely contributing factor to the client's heartburn.