Questions 84

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ATI LPN Adult Medical Surgical 2023 II Questions

Extract:


Question 1 of 5

A nurse is monitoring a client who has diabetes mellitus and a glucose level of 384 mg/dL (74 to 106 mg/dL). Which of the following findings should the nurse identify as an indication of metabolic acidosis?

Correct Answer: A

Rationale: Increased respiratory rate (Kussmaul breathing) compensates for metabolic acidosis in hyperglycemia.

Question 2 of 5

An occupational health nurse is interpreting the results of a tuberculin skin test for a group of clients who received the test 48 hr ago. Which of the following clients should the nurse identify as having a positive test result?

Correct Answer: B

Rationale: An induration of 15 mm indicates a positive TB test, suggesting exposure or infection.

Question 3 of 5

A nurse is caring for a client who was admitted with type 2 diabetes mellitus. Which of the following findings indicates hyperglycemia?

Correct Answer: A

Rationale: Kussmaul respirations indicate metabolic acidosis, a complication of hyperglycemia in diabetes.

Question 4 of 5

A nurse is reinforcing teaching with a client who has diabetes mellitus about reducing the risk for a stroke. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer: A

Rationale: Losing excess weight reduces stroke risk by improving cardiovascular health, showing client understanding.

Question 5 of 5

A nurse is contributing to the plan of care for a client who has AIDS and has malnutrition. Which of the following actions should the nurse include in the plan of care?

Correct Answer: A

Rationale: A high-calorie diet is essential for a client with AIDS and malnutrition to meet increased metabolic demands and support weight gain.

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