ATI LPN
ATI LPN Med Surg Exam 7 Questions
Extract:
Question 1 of 5
A nurse is planning care for a client who has end-stage cirrhosis of the liver with hepatic encephalopathy. Which of the following interventions should the nurse plan to implement to decrease the client's ammonia level?
Correct Answer: A
Rationale: Reducing protein intake lowers ammonia production, helping manage hepatic encephalopathy. Vitamin K, fluid restriction, and diuretics address other cirrhosis complications, not ammonia.
Question 2 of 5
A nurse is providing discharge instructions to a client with hepatitis B. Which of the following statements should be included in the teaching?
Correct Answer: C
Rationale: Informing sexual partners about hepatitis B prevents transmission, as it is spread through blood and bodily fluids. Blood donation is prohibited, alcohol worsens liver damage, and follow-up is essential.
Question 3 of 5
A nurse is caring for a client who returns to the nursing unit from the recovery room after a sigmoid colon resection for adenocarcinoma. The client had an episode of intraoperative bleeding, which finding indicates to the nurse that the client may be developing hypovolemic shock?
Correct Answer: B
Rationale: Tachycardia (increased heart rate) is an early sign of hypovolemic shock as the heart compensates for blood loss. Decreased respiratory rate, reduced urine output, and fever are less specific or later signs.
Question 4 of 5
A nurse is reinforcing teaching with a client who has a new prescription for phenazopyridine. The nurse should reinforce to the client to expect which of the following while taking this medication?
Correct Answer: B
Rationale: Phenazopyridine causes harmless reddish-orange urine discoloration, a common side effect clients should be aware of.
Question 5 of 5
A nurse is assisting with triaging clients after a mass casualty event. Which of the following clients should the nurse attend to first?
Correct Answer: C
Rationale: Severe respiratory stridor and deviated trachea indicate a life-threatening airway obstruction, requiring immediate intervention to secure the airway and prevent respiratory failure, which takes precedence over other conditions.