ATI LPN
ATI LPN Med Surg U13 Exam Questions
Extract:
Question 1 of 5
A patient with a history of ulcerative colitis presents to the emergency department with severe abdominal pain, frequent bloody diarrhea, and signs of dehydration. Which medication should the nurse anticipate administering during this exacerbation of ulcerative colitis?
Correct Answer: A
Rationale: Prednisone: Prednisone, a corticosteroid, is used to reduce inflammation during ulcerative colitis exacerbations. Metronidazole is more for Crohn's or infections, omeprazole treats GERD or ulcers, and loperamide risks toxic megacolon.
Question 2 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 3 of 5
A patient with a history of Gastroesophageal Reflux Disease (GERD) comes to the clinic for a follow-up visit. The nurse is providing education on health prevention measures to manage GERD symptoms. Which of the following statements by the patient indicates a correct understanding of the nurse's teaching?
Correct Answer: D
Rationale: I should avoid eating meals at least 2-3 hours before bedtime: This prevents acid reflux when lying down. Large meals, peppermint tea, and lying down after eating worsen GERD.
Question 4 of 5
A nurse is gathering data on a client who was admitted with pyelonephritis. Which of the following manifestations should the nurse expect the client to be exhibiting? (Select All that Apply.)
Correct Answer: B,C,D,E
Rationale: B, C, D, E: Hypertension, fishy urine odor, mental confusion (especially in elderly), and lower abdominal pain are associated with pyelonephritis. Frothy urine and weak urine stream are not typical.
Question 5 of 5
A nurse is caring for a client who is scheduled for a cholecystectomy due to gallstones. The client asks the nurse what caused the gallstones. Which of the following nurse statements best explains the cause of gallstones?
Correct Answer: D
Rationale: The gallbladder has become inflamed due to the cholesterol in the gallstones: Gallstones form from cholesterol and bile salts, leading to inflammation (cholecystitis). Viral infections, bile duct blockages, or tumors are not primary causes.