ATI LPN
ATI LPN Med Surg Exam 7 Questions
Extract:
Question 1 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 2 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 3 of 5
A nurse is reviewing nutrition therapy with a client who has Cushing's disease. Which of the following dietary modifications should the nurse include in this discussion?
Correct Answer: B
Rationale: Decreasing sodium intake manages fluid retention and hypertension in Cushing's disease, addressing common symptoms like edema.
Question 4 of 5
The nurse is performing an abdominal assessment on a patient who just returned from surgery following a colon resection. The nurse identifies that bowel sounds are not audible. Which action by the nurse would be most appropriate?
Correct Answer: C
Rationale: Absent bowel sounds are expected post-colon resection due to postoperative ileus. Documentation is appropriate, with continued monitoring. Peer validation or immediate provider notification is unnecessary unless other concerning symptoms arise.
Question 5 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.