ATI LPN
ATI LPN Med Surg U13 Exam Questions
Extract:
Question 1 of 5
A nurse is reinforcing teaching about renal transplant with a newly licensed nurse. Which of the following clients should the nurse identify as having a contraindication for this procedure?
Correct Answer: B
Rationale: A client who has a history of IV drug abuse: IV drug abuse is a contraindication due to risks of non-compliance and infections. Pacemakers, normal BMI, and age are not contraindications.
Question 2 of 5
A nurse is reinforcing teaching to a client who has been newly diagnosed with hepatitis C. The client asks how they could have contracted the virus. Which of the following nurse responses best explains how the client may have become infected with hepatitis C?
Correct Answer: B
Rationale: Coming into contact with infected blood: Hepatitis C is primarily spread through blood-to-blood contact, such as sharing needles. Food, saliva, or alcohol do not transmit hepatitis C.
Extract:
A 45-year-old female patient is admitted to the emergency department with severe abdominal pain, fever, and nausea. She reports that the pain started suddenly and has progressively worsened. The healthcare provider suspects peritonitis and orders immediate interventions.
Physical examination
On examination, the patient has a distended abdomen, guarding, and rebound tenderness.
Her vital signs are as follows:
Temperature 102.4°F (39.1°C), Heart rate 120 bpm, Blood pressure 90/60 mmHg, and Respiratory rate 24 breaths per minute.
Question 3 of 5
Which of the following complications is the nurse's highest priority to monitor for in this patient?
Correct Answer: B
Rationale: Hypovolemic shock: The patient's low blood pressure, high heart rate, and signs of fluid shifts from peritonitis indicate a high risk for hypovolemic shock, which is life-threatening and requires immediate monitoring. Sepsis is also critical but secondary in this context.
Extract:
Question 4 of 5
A nurse is providing education to a client who has recently been diagnosed with Crohn's disease. Which of the following explanations by the nurse best simplifies and explains the disorder in non-medical terms?
Correct Answer: C
Rationale: Crohn's disease has the appearance of a patchwork quilt with some areas that are clear and some with sores: This simplifies Crohn's skip lesion pattern for patients. Other options are either too technical or inaccurate.
Question 5 of 5
A nurse is assisting with teaching a client who is preoperative for a sigmoid colostomy. Which of the following statements should the nurse include?
Correct Answer: D
Rationale: Your stoma will be located on the left side of your abdomen: A sigmoid colostomy is typically on the left lower quadrant. High-fiber avoidance, liquid output, and daily bag changes are incorrect.