ATI LPN
ATI LPN Med Surg U13 Exam Questions
Extract:
Question 1 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.
Question 2 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.
Extract:
A female client presents to the clinic with complaints of foul-smelling urine, a low-grade fever of 37.7° C (100° F), and dysuria for the past three days. She also reports increased urinary frequency and urgency but states that she has not noticed any blood in her urine. Upon examination. the nurse notes mild CVA tenderness on the right side. The nurse reviews the client's recent medical history, noting that she has a history of recurrent urinary tract infections (UTIs) and is currently taking no medications other than a daily multivitamin.
Vital Signs
blood pressure 120/78 mm Hg
heart rate 88 beats per minute
respiratory rate 18 breaths per minute
temperature 37.7° C (100° F)
Question 3 of 5
Upon examination, the nurse notes mild CVA tenderness on the right side. Which of the following interventions should the nurse anticipate?
Correct Answer: A,C,D,F
Rationale: A, C, D, F: Increased fluid intake, urine culture, repeat urinalysis, and oral antibiotics are appropriate for managing a UTI. Blood cultures and Foley catheters are not indicated for uncomplicated cases.
Extract:
Question 4 of 5
A nurse is contributing to the plan of care for a client who has an intestinal obstruction and is receiving continuous gastrointestinal decompression using a nasogastric tube. Which of the following interventions should the nurse include in the plan of care?
Correct Answer: A
Rationale: Measure abdominal girth daily: Measuring abdominal girth daily helps assess for changes in distention, which is important in monitoring the effectiveness of the decompression. Lemon-glycerin swabs can dry the oral mucosa, Fowler's position is appropriate but not the primary intervention here, and sterile water is not recommended for NG tube irrigation.
Question 5 of 5
A nurse is providing education to a client who has recently been diagnosed with Crohn's disease. Which of the following explanations by the nurse best simplifies and explains the disorder in non-medical terms?
Correct Answer: C
Rationale: Crohn's disease has the appearance of a patchwork quilt with some areas that are clear and some with sores: This simplifies Crohn's skip lesion pattern for patients. Other options are either too technical or inaccurate.