ATI LPN
ATI LPN Med Surg Exam 3 Questions
Extract:
Question 1 of 5
A nurse is collecting data from a client who is 12 hr postoperative following a colectomy with colostomy placement. Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: A bluish-purplish stoma suggests inadequate blood supply, a medical emergency requiring immediate reporting.
Question 2 of 5
A nurse is caring for a patient who has a Clostridium difficile infection. Which cleansing agent should the nurse use for hand hygiene?
Correct Answer: D
Rationale: Soap and water remove C. difficile spores, unlike alcohol-based antiseptics.
Question 3 of 5
A nurse is collecting data from a patient who has gastroesophageal reflux disease (GERD) and reports experiencing heartburn every night. Which of the following actions should the nurse identify as a contributing factor to the patient's heartburn?
Correct Answer: D
Rationale: Orange juice's acidity triggers heartburn in GERD.
Question 4 of 5
The nurse is gathering information from a patient with abdominal pain. Which description of pain is consistent with diverticulitis?
Correct Answer: B
Rationale: Diverticulitis causes constant, cramping pain in the left lower quadrant due to sigmoid colon inflammation.
Question 5 of 5
The nurse is caring for a client who received a new diet prescription from the physician for nothing by mouth (NPO) except ice chips. Which actions would the nurse take to alleviate the effects of dehydration?
Correct Answer: A,B,D
Rationale: A: Dry mucous membranes indicate dehydration, a key observation. B: Oral care with moist swabs relieves dry mouth discomfort. C: Water sips violate NPO orders. D: Increasing IV fluids prevents dehydration.