ATI LPN
ATI LPN UT1 Med Surg Exam Questions
Extract:
Question 1 of 5
A nurse is providing care to a client who has a history of asthma. The client presents with influenza symptoms that started the previous day. The provider orders an influenza test and prescribes an oral antiviral with instructions to begin the treatment as soon as possible. The client asks the nurse whether they can take the antiviral before the lab results are back. Which of the following responses by the nurse is appropriate?
Correct Answer: D
Rationale: Antivirals are most effective when initiated within 48 hours of influenza symptom onset, especially in high-risk individuals like those with asthma.
Extract:
History
A 50-year-old male presents with a 2-week history of persistent facial pain, nasal congestion, and a thick, yellowish nasal discharge.
He also reports a decreased sense of smell and worsening headache that seems to be localized around his forehead and cheekbones.
Examination
A 50-year-old male presents with a 2-week history of persistent facial pain, nasal congestion, and a thick, yellowish nasal discharge.
He also reports a decreased sense of smell and worsening headache that seems to be localized around his forehead and cheekbones.
Question 2 of 5
Which of the following is the most appropriate treatment for this patient, given the likely diagnosis of acute sinusitis?
Correct Answer: C
Rationale: Oral antibiotics are indicated for acute bacterial sinusitis lasting longer than 10 days to target the underlying infection.
Extract:
Question 3 of 5
A nurse is reinforcing teaching to a graduating nurse about fluid volume deficit. Which of the following concepts about water balance should the nurse explain to the graduating nurse?
Correct Answer: C
Rationale: In fluid volume deficit, the intravascular space loses water, leading to decreased blood volume and symptoms like hypotension.
Question 4 of 5
A nurse is assisting with the plan of care for a client who has pneumonia and requires chest percussion, vibration, and postural drainage. Which of the following actions should the nurse plan to complete first?
Correct Answer: D
Rationale: Proper positioning is crucial for effective postural drainage, as it allows gravity to assist in moving secretions from the lung areas to the central airways.
Question 5 of 5
A nurse is collecting data for a client who has acute respiratory distress syndrome (ARDS). Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: ARDS involves decreased pulmonary compliance due to the stiffness of the lungs, which results from diffuse alveolar damage and the formation of hyaline membranes. This stiffness makes it difficult for the lungs to expand.