ATI LPN
ATI LPN Med Surg Exam 3 Questions
Extract:
Question 1 of 5
A nurse is collecting data from a patient who is African American and has cholecystitis. Which of the following areas should the nurse inspect to monitor for the presence of jaundice?
Correct Answer: A
Rationale: The sclera shows jaundice early due to bilirubin binding.
Extract:
Nurses’ Notes at 0700 hrs
The client has a history of diverticulitis and is allergic to penicillin. The client states that the pain started yesterday and has been worsening. He also reports nausea and vomiting, and he is unable to eat or drink anything without vomiting.
• Client presents with left lower quadrant (LLQ) pain, rated 9 on a 0 to 10 pain scale.
• Client is nauseous and has vomited twice since arrival.
• Client states he has not had a bowel movement in two days.
• Abdomen is distended and tender to palpation in the LLQ.
• Bowel sounds are hypoactive in all four quadrants.
• Client is oriented to person, place, and time.
• Client is able to move all extremities without difficulty.
Vital Signs at 0700 hrs
Temperature: 37.4°C (99.3°F)
• Heart rate: 100/min
• Respiratory rate: 20/min
• Blood pressure: 148/76 mm Hg
• Oxygen saturation: 97% on room air
Diagnostic Results at 0715 hrs
Sodium: 140 mEq/L (136-145 mEq/L)
• Potassium: 3.5 mEq/L (3.5-5.0 mEq/L)
• BUN: 19 mg/dL (10-20 mg/dL)
• Creatinine: 1.1 mg/dL (0.6-1.3 mg/dL)
• White Blood Cell Count: 28,000/mm³ (5,000-10,000/mm³)
Question 2 of 5
Based on the information provided, which of the following provider's prescriptions are anticipated, nonessential, or contraindicated for the client?
| Options | Anticipated | Nonessential | Contraindicated |
|---|---|---|---|
| Increase fiber intake | |||
| CT of the abdomen with contrast | |||
| Flexible sigmoidoscopy | |||
| Change IV fluids to 0.9% sodium chloride with KCl | |||
| Type and crossmatch blood | |||
| Administer IV piperacillin-tazobactam |
Correct Answer: B,C,D,E,F
Rationale: A: Nonessential. A high-fiber diet can prevent future diverticulitis but is not helpful during the acute phase, especially with vomiting. B: Anticipated. A CT scan confirms diverticulitis diagnosis and assesses severity. C: Anticipated. Sigmoidoscopy visualizes diverticula and inflammation extent. D: Anticipated. IV fluids with KCl address dehydration and maintain potassium levels. E: Anticipated. Blood typing is needed due to possible bleeding indicated by occult blood test and low hemoglobin. F: Contraindicated. Piperacillin-tazobactam is penicillin-based, and the client is allergic to penicillin.
Extract:
Question 3 of 5
The nurse is providing care for a patient who is one day postoperative from a Roux-en-Y surgical procedure. The nurse notices that the patient has received a lunch tray. Which of the following food items would be concerning to the nurse?
Correct Answer: A
Rationale: Solid foods like yogurt risk complications like dumping syndrome one day post-Roux-en-Y, unlike clear liquids.
Question 4 of 5
A client has been diagnosed with acute gastroenteritis. What diet would the nurse expect to be prescribed for the client?
Correct Answer: C
Rationale: A low fiber diet is easier to digest, reducing symptoms like diarrhea in acute gastroenteritis.
Question 5 of 5
The nurse is observing a patient for the early signs and symptoms of dumping syndrome. Which symptom indicates this occurrence?
Correct Answer: A
Rationale: Sweating and pallor are early signs of dumping syndrome due to rapid gastric emptying.