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 labyrinthitis. Which of the following interventions should the nurse include in the plan?
Correct Answer: B
Rationale: Monitoring cardinal fields of vision assesses nystagmus in labyrinthitis, aiding in evaluating vestibular dysfunction and guiding care.
Question 2 of 5
The client diagnosed with acute diverticulitis is complaining of severe abdominal pain. On assessment, the nurse finds a hard, rigid abdomen and a temperature of 102 F. Which of the following is the highest priority?
Correct Answer: B
Rationale: A rigid abdomen and fever suggest perforation and peritonitis, a medical emergency requiring immediate provider notification for intervention. Antipyretics, enemas, and monitoring are secondary.
Question 3 of 5
A client with end stage liver disease, cirrhosis, and ascites is scheduled for a paracentesis. Which of the following interventions can be anticipated related to care of this patient?
Correct Answer: A
Rationale: Voiding before paracentesis reduces bladder puncture risk. Malignant hyperthermia, prone positioning, and prophylactic antibiotics are not standard for this procedure.
Question 4 of 5
A nurse is teaching a client about causes of biliary cirrhosis. Which of the following information should the nurse include in the teaching?
Correct Answer: A
Rationale: Biliary cirrhosis results from prolonged bile duct obstruction, causing liver damage. and liver damage. Hepatitis C, hepatotoxic medications, and alcohol cause other types of cirrhosis.
Question 5 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.