ATI LPN
ATI LPN Med Surg Exam 5 Questions
Extract:
Question 1 of 5
A patient presents with severe ear pain, itching, and discharge from the ear. Upon examination, the external auditory canal is swollen and red. Which of the following is the most appropriate initial intervention for a patient diagnosed with otitis externa?
Correct Answer: D
Rationale:
Topical antibiotics and corticosteroids effectively treat infection and inflammation in otitis externa, reducing symptoms.
Question 2 of 5
A 50-year-old male patient presents with facial rounding, central obesity, and purple striae on the abdomen. Laboratory results show high levels of ACTH. What is the most likely underlying cause of his condition?
Correct Answer: C
Rationale: Cushing Disease, caused by a pituitary adenoma, leads to high ACTH and cortisol, causing facial rounding, obesity, and striae.
Question 3 of 5
A 65-year-old patient is admitted to the ICU with myxedema coma. Which of the following interventions is the priority for this patient?
Correct Answer: A
Rationale: IV levothyroxine is critical to rapidly correct severe hypothyroidism in myxedema coma, addressing life-threatening symptoms like hypothermia and bradycardia.
Question 4 of 5
A nurse is providing care for an older adult client who has hyperglycemia, polydipsia, and polyuria. Which of the following manifestations supports the clinical presentation of hyperosmolar hyperglycemic syndrome (HHS)? (Select All that Apply.)
Correct Answer: B,C,D,F
Rationale: Fever, older age, high serum glucose, and insidious onset are characteristic of HHS, unlike acetone breath and low bicarbonate, which suggest DKA.
Question 5 of 5
A nurse is reinforcing teaching with a client who has been newly diagnosed with chronic open-angle glaucoma. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: C
Rationale: Consulting the clinic before taking over-the-counter medications prevents interactions with glaucoma treatments, indicating understanding.