ATI LPN
ATI LPN Med Surg Exam 6 Questions
Extract:
Question 1 of 5
The nurse is assessing a patient with suspected bacterial meningitis and notes a positive Kernig sign. How should the nurse interpret this finding?
Correct Answer: A positive Kernig sign, indicating meningeal irritation, is characterized by pain and resistance when extending the leg from a flexed hip and knee position.
Rationale:
Question 2 of 5
A patient with myasthenia gravis is admitted to the hospital with signs of a myasthenic crisis. Which of the following symptoms should the nurses expect to observe?
Correct Answer: Myasthenic crisis involves severe muscle weakness, leading to respiratory distress, dysphagia, and increased vital signs due to stress.
Rationale:
Question 3 of 5
A nurse is assisting with preparations for administering intravenous potassium replacement supplements to a client who has a potassium level of 2.5 mEq/L. Which of the following actions should the nurse plan to include?
Correct Answer: Adequate urine output, patient education, repeat potassium checks, and cardiac monitoring are essential for safe IV potassium administration.
Rationale:
Question 4 of 5
A client is diagnosed with osteomyelitis. Which clinical manifestation would the nurse expect to assess?
Correct Answer: Osteomyelitis causes localized bone pain and tenderness due to infection, often accompanied by swelling.
Rationale:
Question 5 of 5
A 45-year-old male patient present to the emergency department with a severe head injury following a car accident. His Glasgow Coma Scale (GCS) score is 8, and he shows signs of increased intracranial pressure (ICP). Which of the following interventions should be prioritized to manage his ICP?
Correct Answer: Mannitol reduces intracranial pressure by drawing fluid out of brain tissue, making it a priority intervention for managing increased ICP.
Rationale: