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ATI LPN Med Surg Exam 3 Questions

Extract:


Question 1 of 5

A nurse is gathering data from a client who has peptic ulcer disease. Which of the following findings is a sign of gastrointestinal perforation?

Correct Answer: C

Rationale: Severe upper abdominal pain signals perforation, a medical emergency in peptic ulcer disease.

Question 2 of 5

At 0330, a nurse is caring for a postoperative client. The client's IV fluids are infusing at 120 mL/hr. How many mL of IV fluid should infuse by 0600?

Correct Answer: B

Rationale: 120 mL/hr × 2.5 hr (0330 to 0600) = 300 mL.

Question 3 of 5

After a diagnostic work-up, a 56-year-old male client was diagnosed with a duodenal ulcer caused by Helicobacter pylori infection. After treatment, the client is to have an esophagogastroduodenoscopy (EGD). Which teaching should the nurse reinforce?

Correct Answer: D

Rationale: Waiting for the gag reflex to return prevents aspiration post-EGD.

Question 4 of 5

A nurse is planning care for a client who is scheduled for a colonoscopy. The nurse should expect the client to receive which of the following types of anesthesia?

Correct Answer: A

Rationale: Moderate sedation ensures comfort and relaxation during a colonoscopy.

Question 5 of 5

A nurse is contributing to the plan of care for a client who has a gastrostomy tube through which he is receiving continuous enteral feedings. Which of the following interventions should the nurse include in the plan?

Correct Answer: B

Rationale: Flushing the tube every 4 hours maintains patency and hydration.

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