ATI LPN
ATI LPN Med Surg Exam 7 Questions
Extract:
Question 1 of 5
A nurse is collecting data from a client who has scleroderma. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: Hardened skin is a hallmark of scleroderma, resulting from excessive collagen deposition causing thickened, tight skin.
Question 2 of 5
A nurse is assisting in the plan of care for a client who had a removal of the pituitary gland. Which of the following actions should the nurse include in the plan?
Correct Answer: B
Rationale: Changing the nasal drip pad monitors for cerebrospinal fluid leaks and infection post-pituitary surgery, ensuring timely intervention.
Question 3 of 5
The nurse is caring for a client with cirrhosis, portal hypertension, and esophageal varices. Which of the following is not a potential intervention?
Correct Answer: C
Rationale: Mesalamine is used for inflammatory bowel disease, not cirrhosis or esophageal varices. Metoprolol reduces portal hypertension, famotidine prevents variceal irritation, and balloon tamponade manages severe variceal bleeding.
Question 4 of 5
A nurse is caring for a client who is 1 day postoperative following a transurethral resection of the prostate (TURP) and has a continuous bladder irrigation in place. Which of the following actions should the nurse take?
Correct Answer: B,C,D,E
Rationale: Sterile technique, patent tubing, reporting voiding urges, and notifying about bright red urine or clots ensure safe irrigation and prevent complications.
Question 5 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.