ATI LPN
ATI PN Adult Medical Surgical 2023 III Questions
Extract:
Question 1 of 5
What interventions should the nurse include in the plan of care?
Correct Answer: D
Rationale: Bed rest reduces oxygen demand during sickle cell crises, aiding recovery.
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 2 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.
Extract:
Question 3 of 5
Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: Diltiazem sustained-release tablets must be swallowed whole for proper release.
Extract:
Vital Signs
Nurse’s Notes
Diagnostic Results
• Temperature: 39.1 C (102.4° F)
A nurse is reviewing prescriptions from the provider. The prescriptions include:
Provider’s Prescriptions
Obtain daily weight
Obtain blood cultures x2
Swab culture at AVF site
Oxygen at 2 to 4 L nasal cannula for saturation less than 95%
Initiate peripheral venous access
Vancomycin 1 gram by intermittent IV bolus every 12 hr, infuse over 90 minutes
Nutritional consult
Acetaminophen 325 mg PO every 6 hr for temperature greater than 38.3 C (101° F)
Diphenhydramine 25 mg PO every 6 hr
Question 4 of 5
The nurse should first:
Correct Answer: F
Rationale: Obtaining blood cultures first ensures an accurate diagnosis of infection (e.g., from the AVF site) before antibiotics are administered, which could alter culture results.
Extract:
Question 5 of 5
What advice should the nurse provide?
Correct Answer: D
Rationale: A diary correlates activities with heart rhythms, essential for Holter monitor interpretation.