ATI LPN
ATI LPN Med Surg U13 Exam Questions
Extract:
A female client presents to the clinic with complaints of foul-smelling urine, a low-grade fever of 37.7° C (100° F), and dysuria for the past three days. She also reports increased urinary frequency and urgency but states that she has not noticed any blood in her urine. Upon examination. the nurse notes mild CVA tenderness on the right side. The nurse reviews the client's recent medical history, noting that she has a history of recurrent urinary tract infections (UTIs) and is currently taking no medications other than a daily multivitamin.
Vital Signs
blood pressure 120/78 mm Hg
heart rate 88 beats per minute
respiratory rate 18 breaths per minute
temperature 37.7° C (100° F)
Question 1 of 5
Upon examination, the nurse notes mild CVA tenderness on the right side. Which of the following interventions should the nurse anticipate?
Correct Answer: A,C,D,F
Rationale: A, C, D, F: Increased fluid intake, urine culture, repeat urinalysis, and oral antibiotics are appropriate for managing a UTI. Blood cultures and Foley catheters are not indicated for uncomplicated cases.
Extract:
Question 2 of 5
A nurse is caring for a client admitted for renal calculus. Which of the following assessment findings should the nurse associate with renal calculi? (Select All that Apply.)
Correct Answer: B,C,D,E
Rationale: B, C, D, E: Gastrointestinal upset, urinary urgency, fever (indicating possible infection), and flank pain are associated with renal calculi. Incontinence is not typical.
Question 3 of 5
A patient with a history of ulcerative colitis presents to the emergency department with severe abdominal pain, frequent bloody diarrhea, and signs of dehydration. Which medication should the nurse anticipate administering during this exacerbation of ulcerative colitis?
Correct Answer: A
Rationale: Prednisone: Prednisone, a corticosteroid, is used to reduce inflammation during ulcerative colitis exacerbations. Metronidazole is more for Crohn's or infections, omeprazole treats GERD or ulcers, and loperamide risks toxic megacolon.
Question 4 of 5
A nurse is gathering data on a client who was admitted with pyelonephritis. Which of the following manifestations should the nurse expect the client to be exhibiting? (Select All that Apply.)
Correct Answer: B,C,D,E
Rationale: B, C, D, E: Hypertension, fishy urine odor, mental confusion (especially in elderly), and lower abdominal pain are associated with pyelonephritis. Frothy urine and weak urine stream are not typical.
Question 5 of 5
A female presents to the clinic with complaints of dysuria and increased urinary frequency. Which of the following findings on physical examination would most likely support a diagnosis of cystitis?
Correct Answer: B
Rationale: Suprapubic tenderness: This is a classic sign of cystitis, along with dysuria and frequency. Costovertebral tenderness suggests pyelonephritis, while distention and edema are unrelated.