ATI LPN
ATI LPN Med Surg Cohort 6 Exam Questions
Extract:
Question 1 of 5
A nurse is reviewing the client's medical record in the presurgical holding area. Which of the following places the client at risk for a surgical site infection?
Correct Answer: D
Rationale: Diabetes impairs immune response and wound healing, increasing surgical site infection risk.
Question 2 of 5
A nurse is giving a preoperative patient a dose of famotidine (Pepcid). The patient asks why the nurse is giving this drug when the patient has no history of ulcers. What response by the nurse is best?
Correct Answer: C
Rationale: Famotidine reduces stomach acid, helping prevent stress-induced ulcers during surgery, providing a clear and accurate explanation.
Question 3 of 5
A 73-year-old patient with diabetes was admitted for below the knee amputation of his right leg. Removal of his right leg is an example of which type of surgery?
Correct Answer: C
Rationale: Amputation removes diseased tissue, classifying it as ablative surgery.
Question 4 of 5
A nurse is caring for a patient who has the following arterial blood values: pH 7.12, PaO2 56 mm Hg, PaCO2 65 mm Hg, and HCO3 - 22 mEq/L (22 mmol/L). Which clinical situation does the nurse correlate with these values?
Correct Answer: D
Rationale: Low pH and high PaCO2 indicate respiratory acidosis, consistent with CO2 retention from bronchial obstruction.
Extract:
History and Physical
0820:
20-year-old client presents to the emergency department with severe burns. Client Is grimacing and rates pain as 5 on a scale of 0 to 10. Patent airway, No Increased work of breathing.
Vital signs
0820:
• Blood pressure 140/80mmHg
• Heart rate 110/min
• Respiratory rate 25/min
• SaO2 98% on room air
• Temp 36.1 degrees
Assessment
2030:
Client is screaming and crying in pain. Client reports pain as 10 on a scale of 0 to 10. Client is very anxious and is breathing rapidly. Patent airway. Lungs are clear to auscultation bilaterally.
Question 5 of 5
A nurse is assisting in the care of a client who has severe burns. Which of the following actions should the nurse take when caring for a client who has severe burns? Select all that apply.
Correct Answer: B,D
Rationale: Opioids manage severe pain, and benzodiazepines address anxiety, both critical in burn care; ice water and antibiotics are not routinely indicated.