ATI LPN
ATI LPN Med Surg Exam 7 Questions
Extract:
Question 1 of 5
The client diagnosed with acute diverticulitis is complaining of severe abdominal pain. On assessment, the nurse finds a hard, rigid abdomen and a temperature of 102 F. Which of the following is the highest priority?
Correct Answer: B
Rationale: A rigid abdomen and fever suggest perforation and peritonitis, a medical emergency requiring immediate provider notification for intervention. Antipyretics, enemas, and monitoring are secondary.
Question 2 of 5
The nurse and the orientee are receiving a client from the Post Anesthesia Care Unit (PACU) following a Pancreaticoduodenectomy (Whipple) procedure What statements by the orientee indicate that teaching has been effective regarding this type of patient? (Select All that Apply)
Correct Answer: A,C,D
Rationale: The Whipple procedure is typically for pancreatic cancer (
A), causes malabsorption issues (
C), and has a long recovery (
D). It does not involve an ileostomy (
B).
Question 3 of 5
A nurse is caring for a client who has a chest tube inserted for a pneumothorax. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Taping chest tube connections ensures an airtight system, preventing air leaks and maintaining effective pneumothorax treatment.
Question 4 of 5
A nurse is contributing to the plan of care for a client who has a spinal cord injury and paralysis. Which of the following actions should the nurse include in the plan to decrease the client's risk of skin breakdown?
Correct Answer: C,E
Rationale: Using pillows to elevate heels and minimizing moisture exposure prevent pressure ulcers and skin maceration, key risks in paralyzed clients.
Question 5 of 5
A nurse is caring for a client who is using a patient-controlled analgesia (PCA) pump. The client's partner asks if she can press the button for the client while he is sleeping. Which of the following responses should the nurse make?
Correct Answer: D
Rationale: Only the client should use the PCA to prevent over-sedation, ensuring safe pain management based on their perceived need.