ATI LPN
ATI LPN Med Surg Exam 5 Questions
Extract:
Question 1 of 5
A nurse is preparing a plan of care for a client who is postoperative following a cochlear implant insertion. Which of the following instructions should the nurse include in the plan of care?
Correct Answer: B
Rationale: Eating soft foods is recommended after cochlear implant surgery to avoid putting strain on the surgical site and to ensure comfort while chewing. Soft foods are easier to manage and less likely to cause discomfort or disrupt the healing process.
Question 2 of 5
A nurse is reinforcing teaching of a female client who has a family history of type 2 diabetes mellitus. The nurse should include which of the following risk factors for developing type 2 diabetes mellitus in the teaching?
Correct Answer: A
Rationale: A sedentary lifestyle increases obesity risk, a major factor in insulin resistance and type 2 diabetes development.
Question 3 of 5
A 55-year-old female presents with symptoms of fatigue, muscle weakness, and depression. Laboratory results reveal elevated calcium levels and increased parathyroid hormone (PTH) levels. Which of the following is the most likely cause of her hyperparathyroidism?
Correct Answer: A
Rationale: Parathyroid adenoma is the most common cause of primary hyperparathyroidism, leading to elevated PTH and calcium, causing fatigue and weakness.
Question 4 of 5
A 65-year-old patient has just received a blood transfusion. Shortly after the transfusion begins, the patient complains of chills, back pain, and difficulty breathing. What is the most likely cause of these symptoms?
Correct Answer: D
Rationale: Acute hemolytic transfusion reaction causes chills, back pain, and breathing difficulty due to immune-mediated red cell destruction, requiring immediate intervention.
Question 5 of 5
A 21-year-old patient with a known history of sickle cell anemia presents to the emergency department with severe pain in the lower back and joints, fatigue, and fever. What is the most likely cause of these symptoms?
Correct Answer: C
Rationale: Vaso-occlusive crisis is a common complication of sickle cell anemia, where sickled red blood cells block blood flow, causing severe pain, fever, and fatigue, matching the patient's symptoms.