ATI LPN
ATI LPN Med Surg Exam 5 Questions
Extract:
Question 1 of 5
A patient with acromegaly is being evaluated. Which clinical manifestation is most likely to be observed in this patient?
Correct Answer: D
Rationale: Enlarged hands and feet are hallmark signs of acromegaly due to excessive growth hormone causing bone and tissue growth.
Question 2 of 5
A 52-year-old patient is admitted to the hospital with symptoms of confusion, headache, and muscle cramps. Laboratory tests reveal the following findings: serum sodium 120 mEq/L, serum osmolality 260 mOsm/kg, urine osmolality 500 mOsm/kg, and urine sodium 40 mEq/L. What is the most likely diagnosis based on these laboratory findings?
Correct Answer: D
Rationale: Low serum sodium, low serum osmolality, and high urine osmolality indicate SIADH, where excessive ADH causes water retention and hyponatremia.
Question 3 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 4 of 5
An 18-year-old patient with a known history of sickle cell anemia presents to the emergency department with severe pain in the lower back and joints, fever, and signs of dehydration. What is the most appropriate initial nursing intervention?
Correct Answer: A
Rationale: IV fluids and pain management address dehydration and severe pain in sickle cell crisis, stabilizing the patient and reducing vaso-occlusion.
Question 5 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 the priority to correct severe hypothyroidism in myxedema coma, addressing critical symptoms like hypothermia and altered mental status.