ATI LPN
ATI LPN Med Surg U13 Exam Questions
Extract:
Question 1 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.
Question 2 of 5
A female presents to the clinic with complaints of dysuria and increased urinary frequency. Which of the following findings on physical examination would most likely support a diagnosis of cystitis?
Correct Answer: B
Rationale: Suprapubic tenderness: This is a classic sign of cystitis, along with dysuria and frequency. Costovertebral tenderness suggests pyelonephritis, while distention and edema are unrelated.
Question 3 of 5
A patient with Crohn's disease is being discharged from the hospital. The nurse is providing dietary teaching to the patient. Which of the following statements by the patient indicates a correct understanding of the dietary recommendations?
Correct Answer: D
Rationale: I should include high-protein foods like chicken and fish in my diet: High-protein foods support healing and muscle maintenance in Crohn's disease. Plant-based-only or low-protein diets are not recommended.
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 4 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 5 of 5
A nurse is reinforcing teaching with a client who has end-stage liver disease and a recent diagnosis of thrombocytopenia. Which of the following statements provides the best recommendation to prevent complications of bleeding?
Correct Answer: D
Rationale: Only use a soft-bristle toothbrush: A soft-bristle toothbrush reduces gum bleeding risk in thrombocytopenia. Visualizing skin, flossing, or ice packs are less effective preventive measures.