ATI LPN
ATI LPN Med Surg Exam 7 Questions
Extract:
Question 1 of 5
A nurse is reviewing data for a client who has disseminated intravascular coagulation (DIC). Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Disseminated intravascular coagulation (DI
C) is characterized by both excessive clotting and bleeding due to inappropriate activation of the clotting cascade, consuming clotting factors and platelets, leading to a paradoxical combination of thrombosis and hemorrhage.
Question 2 of 5
The nurse is caring for a client diagnosed with cancer of the pancreas head who is complaining of nausea, severe epigastric pain, and jaundice. Which of the following stool characteristics can the nurse anticipate?
Correct Answer: B
Rationale: Pancreatic cancer can block the bile duct, preventing bilirubin from reaching the intestines, resulting in clay-colored stools. Blood-tinged stools suggest bleeding, not typical here. Brown stools are normal, and 'chalky' is not a standard term for this condition.
Question 3 of 5
The nurse is reviewing an order of infuse 12.5 grams of Albumin to the client. The albumin is dispensed as 12.5 grams in 50 mL bottles and can be infused at 2 mL/minute. How long will it take to administer this dose of Albumin.
Correct Answer: 25
Rationale: 50 mL ÷ 2 mL/min = 25 minutes. This calculation determines the infusion time based on the given rate.
Question 4 of 5
A nurse is caring for an infant who has inadequate motility of part of the intestine resulting in a mechanical obstruction. The nurse should identify this finding as a manifestation of which of the following disorders?
Correct Answer: C
Rationale: The correct answer is Hirschsprung's disease (
A), not C. Hirschsprung's disease involves absent ganglion cells, causing impaired peristalsis and obstruction. Pyloric stenosis causes gastric obstruction, Crohn's is inflammatory, and enterocolitis is not congenital. The document's answer is incorrect; A is the rationale-based answer.
Question 5 of 5
A nurse is monitoring a client who has just had a thoracentesis to remove pleural fluid. Which of the following clinical manifestations should indicate to the nurse the client is experiencing a complication and the provider should be notified immediately?
Correct Answer: C
Rationale: Increased heart rate may signal respiratory distress or hypovolemia post-thoracentesis, requiring immediate provider notification.