ATI LPN
ATI PN Adult Medical Surgical 2023 III Questions
Extract:
Question 1 of 5
The nurse should recognize that which of the following findings indicates fluid overload?
Correct Answer: B
Rationale: Dyspnea during transfusion suggests fluid overload affecting the lungs.
Question 2 of 5
Which of the following interventions should the nurse recommend?
Correct Answer: C
Rationale: Rest periods reduce cardiac workload in heart failure patients.
Question 3 of 5
What instructions should the nurse provide?
Correct Answer: D
Rationale: Daily weighing monitors fluid status and thyroid treatment efficacy in hypothyroidism.
Question 4 of 5
What action should the nurse take in preparation for the procedure?
Correct Answer: C
Rationale: Signed consent is a critical pre-procedure requirement for an esophagogastroduodenoscopy.
Extract:
Nurse’s Notes at 0800hrs
Physical Examination Results
Vital Signs at 0800hrs
Provider’s Prescriptions
Diagnostic Results at 0800hrs
The client appears uncomfortable and restless. He is guarding his abdomen, which is distended and tympanic to percussion. His skin is warm and dry to touch, with no signs of jaundice. He continues to deny any tobacco use and admits to drinking 1 to 2 glasses of wine daily.
A nurse is caring for a 52-year-old male client in the emergency department. It’s now 0800hrs. The client reports worsening mid- abdominal pain, rating it as 8 on a scale of 0 to 10. He states, “I haven’t had a bowel movement in 5 days now.” He also mentions that he has vomited twice since the last assessment.
Question 5 of 5
For each finding, specify if the finding is consistent with small bowel obstruction or acute pancreatitis. Each finding may support more than one disease process.
| Options | Small Bowel Obstruction | Acute Pancreatitis |
|---|---|---|
| Abdominal Pain | ||
| No Bowel Movement for 5 days | ||
| Vomiting | ||
| Abdominal Distention | ||
| Increased Heart Rate | ||
| Elevated Temperature | ||
| Distention with fluid and gas in the small bowel (CT Scan) |
Correct Answer: A
Rationale: Abdominal pain is consistent with both small bowel obstruction (due to blockage) and acute pancreatitis (due to inflammation). However, the constellation of findings (no bowel movement, vomiting, distention) leans toward small bowel obstruction, confirmed by CT scan findings.