ATI LPN
ATI LPN Med Surg Exam 7 Questions
Extract:
Question 1 of 5
A nurse is contributing to the plan of care for a client who has a spinal cord injury and paralysis. Which of the following actions should the nurse include in the plan to decrease the client's risk of skin breakdown?
Correct Answer: C,E
Rationale: Using pillows to elevate heels and minimizing moisture exposure prevent pressure ulcers and skin maceration, key risks in paralyzed clients.
Question 2 of 5
The nurse is caring for a client with acute pancreatitis. Which of the following would the nurse anticipate seeing in the client's history?
Correct Answer: A
Rationale: Gallstones (cholelithiasis) are a common cause of acute pancreatitis by obstructing the pancreatic duct. Other options are unrelated to pancreatitis etiology.
Question 3 of 5
A nurse is contributing to the plan of care for a client who has a spinal cord injury and paralysis. Which of the following actions should the nurse include in the plan to decrease the client's risk of skin breakdown?
Correct Answer: C,E
Rationale: Using pillows to elevate heels and minimizing moisture exposure prevent pressure ulcers and skin maceration, key risks in paralyzed clients.
Question 4 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 5 of 5
A client with cirrhosis is scheduled for a paracentesis. Which of the following statements indicate that the client understands the purpose of the procedure?
Correct Answer: B
Rationale: Paracentesis removes ascitic fluid from the abdomen to relieve discomfort and respiratory compromise, making this the correct understanding. It does not cure liver disease, lower ammonia levels (managed by lactulose), or inherently reduce infection risk.