ATI LPN
ATI LPN Med Surg U13 Exam Questions
Extract:
Question 1 of 5
A patient undergoing chemotherapy reports painful oral ulcers, difficulty eating, and a metallic taste in the mouth. The nurse suspects stomatitis. Which nursing intervention is most appropriate for this patient?
Correct Answer: D
Rationale: Recommend soft, non-irritating foods: This reduces discomfort and irritation in stomatitis. Alcohol-based mouthwash, avoiding all intake, or vigorous brushing can worsen symptoms.
Question 2 of 5
A patient with a nasogastric (NG) tube in place is experiencing respiratory distress. What is the most appropriate initial nursing intervention?
Correct Answer: C
Rationale: Check the placement of the NG tube: Respiratory distress may indicate NG tube misplacement into the lungs, which can obstruct breathing. Verifying placement is critical before other interventions like elevating the bed, administering bronchodilators, or increasing oxygen.
Question 3 of 5
A patient with ascites has been admitted to your unit. Which of the following safety precautions should you reinforce to prevent complications?
Correct Answer: A
Rationale: Instruct the patient to change positions slowly: Ascites can cause orthostatic hypotension, so slow position changes prevent dizziness and falls. Avoiding activity, excess fluids, or tight clothing is not appropriate.
Question 4 of 5
A female patient presents with epigastric pain and is being evaluated for peptic ulcer disease (PUD). Upon reviewing her history, which of the following risk factors would be most indicative of increasing his likelihood of developing PUD?
Correct Answer: C
Rationale: Frequent use of nonsteroidal anti-inflammatory drugs (NSAIDs): NSAIDs are a major cause of peptic ulcers by damaging the stomach lining. Social drinking, high-fiber diets, and allergies are not significant risk factors.
Question 5 of 5
A patient with acute pancreatitis is being discharged from the hospital. Which statement made by the patient indicates a need for further teaching regarding their discharge instructions?
Correct Answer: B
Rationale: I can resume my high-fat diet once my symptoms improve: A high-fat diet can trigger another episode of pancreatitis, as fat stimulates pancreatic enzymes that can exacerbate the condition. The patient should follow a low-fat diet. Avoiding alcohol, taking medications as prescribed, and regular follow-ups are correct statements.