ATI LPN
ATI LPN Med Surg U13 Exam Questions
Extract:
Question 1 of 5
A patient is recovering from a common bile duct exploration and has a T-tube drain in place. As the nurse, which action is most appropriate to ensure proper function and patient safety?
Correct Answer: D
Rationale: Maintain the drainage bag below the level of the abdomen: This promotes gravity drainage of bile, ensuring proper T-tube function. Flushing, prolonged clamping, or securing to the gown are not appropriate.
Question 2 of 5
A nurse is assessing a client who has advanced cirrhosis. Which of the following manifestation should the nurse expect to find?
Correct Answer: A
Rationale: Spider angioma: Spider angiomas are common in advanced cirrhosis due to increased estrogen from liver dysfunction. Decreased body hair, weak pulse, and pale stools are more likely.
Question 3 of 5
A male patient is admitted to the hospital with complaints of epigastric pain, which he describes as burning and gnawing. The pain occurs 2-3 hours after eating and is somewhat relieved by food or antacids. He has a history of smoking and occasional alcohol use. Upon assessment, the patient exhibits tenderness in the epigastric region, and his vital signs are stable. The patient is diagnosed with a peptic ulcer disease (PUD). Which of the following is the most appropriate nursing intervention for this patient?
Correct Answer: A
Rationale: Administer a proton pump inhibitor (PPI) as prescribed: PPIs reduce gastric acid production, promoting ulcer healing. High-fiber diets, frequent meals, or dairy are less effective or contraindicated.
Question 4 of 5
A female patient recently underwent a partial gastrectomy and is now presenting with symptoms of weakness, dizziness, and sweating, particularly after meals. Based on these symptoms, what is the most likely diagnosis?
Correct Answer: A
Rationale: Dumping Syndrome: Dumping syndrome is a common complication following gastrectomy, where food moves too quickly from the stomach to the small intestine. Symptoms such as weakness, dizziness, and sweating, particularly after meals, are characteristic of this condition. Peptic Ulcer Disease typically presents with epigastric pain. GERD is associated with heartburn and acid regurgitation. IBS involves bloating, abdominal discomfort, and altered bowel habits.
Question 5 of 5
During the process of collecting a comprehensive medical history from a client who has been admitted with pyelonephritis, which of the following symptoms or historical details would the nurse most likely expect the client to report?
Correct Answer: D
Rationale: A history of frequent urinary tract infections: Frequent urinary tract infections (UTIs) are a significant risk factor for developing pyelonephritis, as the infection can ascend from the bladder to the kidneys. Chronic headaches, gastrointestinal issues, and hypertension are not directly related to pyelonephritis.