ATI LPN
ATI LPN Med Surg Level 2 Test Questions
Extract:
Question 1 of 5
A patient with gout has been instructed on the prescribed medication allopurinol (Zyloprim). Which patient statement indicates understanding of the action of this medication?
Correct Answer: C
Rationale: Allopurinol inhibits uric acid production, reducing levels in the body.
Question 2 of 5
A nurse is reviewing the treatment for an ankle fracture. Which of the following is a treatment option for fractures?
Correct Answer: A
Rationale: Casting immobilizes the fracture to allow proper healing.
Extract:
Nurses Notes
Day 1 1100:
Client admitted from the emergency department after falling at home. Client reports pain in right hip and lower back. Alert and oriented to person, place, and time. Bilateral breath sounds are clear. Pedal pulses +2: skin is pink and warm to touch: movement and sensation intact to extremities. Reddened and ecchymotic areas noted on the middle to lower back and right hip. Slight edema to sacral and iliac region present.
Day 2 0945:
Client unable to void and bladder is distended. Indwelling urinary catheter inserted: draining dark, reddish-brown colored urine: edema to sacral and illac region 2+. Lower extremities cool to touch, pedal pulses 1+ bilaterally, capillary refill time 6 seconds
Diagnostic Results
1200:
CT scan of lower back, hip, and pelvis region shows hairline fractures to right hip and anterior pelvis.
Vital Signs:
Day 1 1200:
Temperature 36.4° C (97.5° F)
Heart rate 92/min
Respiratory rate 22/min
Blood pressure 146/85 mm Hg
Oxygen saturation 95%
Day 2 0945:
Temperature 37.2° C (98.9° F)
Heart rate 108/min
Respiratory rate 24/min
Blood pressure 154/78 mm Hg
Oxygen saturation 96%
Question 3 of 5
The nurse is caring for a client who has a hip and pelvis fracture. Select the 4 findings on Day 2 that require immediate follow-up.
Correct Answer: A,C,E,F
Rationale: Heart rate increase, worsening edema, dark reddish-brown urine, and diminished pedal pulses indicate potential complications requiring immediate attention.
Extract:
Question 4 of 5
A nurse is monitoring a client who has a cast on her right ankle following an open reduction and internal fixation procedure. The nurse should monitor for which of the following findings to identify compartment syndrome?
Correct Answer: A
Rationale: Pain unrelieved by medication is a hallmark sign of compartment syndrome, requiring immediate intervention.
Question 5 of 5
A client returns to the surgical unit from the PACU in skeletal traction. The nurse should take this action to correct which of the following problems with the traction setup?
Correct Answer: D
Rationale: Weights should hang freely to maintain proper traction and alignment, not rest against the foot of the bed.