ATI LPN
ATI LPN Med Surg Exam 7 Questions
Extract:
Question 1 of 5
The emergency room nurse is caring for a client just diagnosed with a bowel obstruction secondary to adhesions. Which of the following orders should the nurse complete first?
Correct Answer: B
Rationale: A nasogastric tube is essential for decompressing the stomach, relieving pressure, and preventing aspiration in bowel obstruction, making it the priority. IV fluids are important but potassium administration requires electrolyte assessment first. Drawing a metabolic panel is secondary to stabilization. Ambulation is contraindicated in acute bowel obstruction.
Question 2 of 5
A nurse is caring for a client who has recurrent kidney stones and a history of diabetes mellitus. The client is scheduled for an intravenous pyelogram (IVP). The nurse should collect additional data about which of the following statements made by the client?
Correct Answer: B
Rationale: Metformin use before IVP increases lactic acidosis risk, requiring temporary discontinuation and further diabetes management data.
Question 3 of 5
A nurse is teaching a client who is preoperative for a sigmoid colostomy. Which of the following statements should the nurse include?
Correct Answer: B
Rationale: A sigmoid colostomy is located in the left lower abdomen, producing formed stool. A purple stoma indicates ischemia, and the stoma itself is not painful due to lack of nerve endings.
Question 4 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 5 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).