Questions 81

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ATI LPN Advanced Med Surg Exam I Questions

Extract:


Question 1 of 5

For the 0700 to 1500 shift, the patient drinks 240 mL of coffee, 60 mL of milk, and 120 mL of apple juice at breakfast. For lunch, the patient takes 8 oz of broth and drinks 10 oz of water for the shift. What is the total intake for the 0700 to 1500 shift?

Correct Answer: B

Rationale:
To calculate total intake: 240 mL (coffee) + 60 mL (milk) + 120 mL (apple juice) + 8 oz (broth) * 30 mL/oz = 240 mL + 10 oz (water) * 30 mL/oz = 300 mL.
Total = 240 + 60 + 120 + 240 + 300 = 960 mL. The provided correct answer is B (660), suggesting a possible error in the document, but based on calculation, 960 mL is accurate. However, adhering to the document, B is selected.

Question 2 of 5

The nurse is providing care for older adult clients in an extended care facility. Which patient should be monitored for signs of urosepsis?

Correct Answer: A

Rationale: The patient who has an indwelling catheter for a urinary tract infection (UTI) is at the highest risk of developing urosepsis. Indwelling catheters provide a direct pathway for bacteria to enter the urinary tract, leading to infections that can escalate to sepsis.

Question 3 of 5

The nurse is checking patency of a new right arm AV fistula. What action does the nurse use to do this?

Correct Answer: B

Rationale: Palpating for a thrill and auscultating for a bruit over the fistula is the correct method for assessing its patency. These signs confirm proper blood flow through the fistula.

Question 4 of 5

Which of the following responses indicates sympathetic nervous system activation?

Correct Answer: A

Rationale: The sympathetic nervous system triggers the 'fight or flight' response, including tachycardia and dilated pupils.

Question 5 of 5

Which of the following is a potential side effect of peritoneal dialysis?

Correct Answer: D

Rationale: Abdominal pain is a potential side effect of peritoneal dialysis. The dialysis process involves the infusion of dialysis solution into the peritoneal cavity, which can cause discomfort or pain in some clients.

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