ATI LPN
ATI LPN Med Surg Concept 2 Exam Questions
Extract:
Question 1 of 5
The nurse enters a room of a patient who is acutely short of breath. Which action should the nurse take first?
Correct Answer: C
Rationale: Pursed lip breathing is a technique that can help patients with acute dyspnea by improving ventilation, prolonging exhalation, and reducing the work of breathing.
Question 2 of 5
The patient with emphysema comes to the emergency department with difficulty breathing. What finding should the nurse anticipate during data collection? Select all that apply
Correct Answer: A,C,E
Rationale: A. Diminished breath sounds due to decreased air movement. C. Use of accessory muscles to assist breathing. E. Barrel-shaped chest from hyperinflation.
Question 3 of 5
The nurse is providing care for a patient admitted for a lower respiratory infection. On admission, the patient's vital signs were blood pressure (BP) 140/80 mm Hg. apical pulse (AP) 112 beats/minute, respirations (R) 32 breaths/minute, and pain level of 8 on a scale of 0 to 10. After assisting the patient to bed and applying the prescribed oxygen, which finding helps the nurse evaluate the effectiveness of nursing care?
Correct Answer: B
Rationale: A decrease in the respiratory rate from 32 breaths/minute to 20 breaths/minute indicates improved respiratory status and effectiveness of nursing care.
Question 4 of 5
The nurse is teaching a patient recently diagnosed with type 1 diabetes mellitus (DM) about the disease. What information should the nurse include?
Correct Answer: A
Rationale: Type 1 diabetes is an autoimmune condition where the body's immune system attacks and destroys the insulin-producing beta cells in the pancreas. As a result, the pancreas produces little to no insulin, which is essential for regulating blood glucose levels.
Question 5 of 5
What type of cells secrete insulin?
Correct Answer: B
Rationale: Beta cells are the pancreatic cells responsible for secreting insulin.