ATI LPN
ATI LPN Med Surg U13 Exam Questions
Extract:
Question 1 of 5
A nurse is contributing to the plan of care for a client who has an intestinal obstruction and is receiving continuous gastrointestinal decompression using a nasogastric tube. Which of the following interventions should the nurse include in the plan of care?
Correct Answer: A
Rationale: Measure abdominal girth daily: Measuring abdominal girth daily helps assess for changes in distention, which is important in monitoring the effectiveness of the decompression. Lemon-glycerin swabs can dry the oral mucosa, Fowler's position is appropriate but not the primary intervention here, and sterile water is not recommended for NG tube irrigation.
Question 2 of 5
A patient undergoing chemotherapy reports painful oral ulcers, difficulty eating, and a metallic taste in the mouth. The nurse suspects stomatitis. Which nursing intervention is most appropriate for this patient?
Correct Answer: D
Rationale: Recommend soft, non-irritating foods: This reduces discomfort and irritation in stomatitis. Alcohol-based mouthwash, avoiding all intake, or vigorous brushing can worsen symptoms.
Question 3 of 5
A female presents to the clinic with complaints of dysuria and increased urinary frequency. Which of the following findings on physical examination would most likely support a diagnosis of cystitis?
Correct Answer: B
Rationale: Suprapubic tenderness: This is a classic sign of cystitis, along with dysuria and frequency. Costovertebral tenderness suggests pyelonephritis, while distention and edema are unrelated.
Question 4 of 5
A nurse is assisting with teaching a client who is preoperative for a sigmoid colostomy. Which of the following statements should the nurse include?
Correct Answer: D
Rationale: Your stoma will be located on the left side of your abdomen: A sigmoid colostomy is typically on the left lower quadrant. High-fiber avoidance, liquid output, and daily bag changes are incorrect.
Question 5 of 5
When caring for older adult clients at a long-term care facility, which of the following assessments should the nurse prioritize when evaluating for the risk and presence of urinary retention? (Select all that apply.)
Correct Answer: A,B,E
Rationale: A, B, E: Observing changes in urinary patterns, assessing for symptoms like hesitancy or incomplete emptying, and evaluating for bladder distention are key assessments for urinary retention. Overhydration can worsen retention, and applying pressure risks bladder injury.