ATI LPN
ATI LPN Med Surg Concept 2 Exam Questions
Extract:
Question 1 of 5
The nurse is reviewing the patient's record. Select to highlight the findings that demonstrate that the patient is improving.
Correct Answer: A,B,C,D
Rationale: HR: 110 bpm; regular - The heart rate has decreased from 115 bpm and is now regular, suggesting improved cardiac rhythm stability. RR: 24 breaths/min; rapid, deep - The respiratory rate has decreased from 26 breaths/min, indicating less rapid breathing. BP: 94/56 mm Hg - While the blood pressure remains relatively low, there is a slight improvement compared to the previous reading. Glucose 460 mg/dl - The glucose level has decreased from 525 mg/dL and 530 mg/dL in previous readings. While still elevated, this indicates some improvement in hyperglycemia.
Question 2 of 5
A patient is admitted to the hospital with hyperosmolar hyperglycemia. The patient has a BG value of 987 mg/dL. Which is the priority focus while providing care?
Correct Answer: D
Rationale: The priority focus in the acute management of hyperosmolar hyperglycemia is improving hydration status. Patients with HHS are severely dehydrated due to the osmotic diuresis caused by extremely high blood glucose levels.
Question 3 of 5
A 33-year-old patient has pneumonia. When the nurse assesses this patient, which of the following data will receive the highest priority?
Correct Answer: D
Rationale: Restlessness can be an early sign of hypoxia. Chest wall movement provides information about the effort and effectiveness of breathing, and the color of the nails can indicate cyanosis, which is a sign of poor oxygenation.
Question 4 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 5 of 5
The LPN/LVN is providing teaching for a patient with type 2 diabetes. Which statement indicates an understanding by the patient?
Correct Answer: C
Rationale: Monitoring blood sugar levels regularly, as recommended by the doctor, is crucial for managing type 2 diabetes effectively. It helps patients track their glucose levels, identify patterns, and make informed decisions about medication, diet, and lifestyle choices to maintain optimal blood sugar control.