ATI LPN
ATI LPN Med Surg U13 Exam Questions
Extract:
Question 1 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 2 of 5
A nurse is caring for a client admitted for renal calculus. Which of the following assessment findings should the nurse associate with renal calculi? (Select All that Apply.)
Correct Answer: B,C,D,E
Rationale: B, C, D, E: Gastrointestinal upset, urinary urgency, fever (indicating possible infection), and flank pain are associated with renal calculi. Incontinence is not typical.
Question 3 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.
Extract:
A 45-year-old female patient is admitted to the emergency department with severe abdominal pain, fever, and nausea. She reports that the pain started suddenly and has progressively worsened. The healthcare provider suspects peritonitis and orders immediate interventions.
Physical examination
On examination, the patient has a distended abdomen, guarding, and rebound tenderness.
Her vital signs are as follows:
Temperature 102.4°F (39.1°C), Heart rate 120 bpm, Blood pressure 90/60 mmHg, and Respiratory rate 24 breaths per minute.
Question 4 of 5
Which of the following complications is the nurse's highest priority to monitor for in this patient?
Correct Answer: B
Rationale: Hypovolemic shock: The patient's low blood pressure, high heart rate, and signs of fluid shifts from peritonitis indicate a high risk for hypovolemic shock, which is life-threatening and requires immediate monitoring. Sepsis is also critical but secondary in this context.
Extract:
Question 5 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.