ATI LPN
ATI PN Adult Medical Surgical 2023 III Questions
Extract:
Question 1 of 5
What should the nurse plan to do first?
Correct Answer: B
Rationale: Confirming NG tube placement ensures effective management of vomiting and constipation.
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:
Vital Signs at 0905
Diagnostic Results at 0945
Medical History
Temperature: 37.1° C (98.7 F)
Heart rate: 110/min
Respiratory rate: 25/min
SpO2: 86%
Blood pressure: 118/76 mm Hg
A nurse is assisting with the care of a client in the emergency department. The client is alert and oriented x3. Wheezing is noted on exhalation with a prolonged breathing cycle. The cough is nonproductive. Use of accessory muscles is noted while breathing. The oral mucosa and lips are cyanotic. Nasal flaring is noted. The client experiences difficulty talking.
Question 3 of 5
Complete the diagram by dragging from the choices below to specify: What condition the client is most likely experiencing. Two actions the nurse should take to address that condition. Two parameters the nurse should monitor to assess the client's progress.
Correct Answer: B,E,F
Rationale: Wheezing, cyanosis, and accessory muscle use suggest asthma. Albuterol relieves bronchospasm, and monitoring ABGs and breath sounds assesses respiratory improvement.
Extract:
Question 4 of 5
Which statement indicates they understand the teaching?
Correct Answer: A
Rationale: Limiting sodium to 2,000 mg/day helps prevent hypertension, a key strategy.
Question 5 of 5
Which piece of information in the patient's history increases their risk for osteoporosis?
Correct Answer: C
Rationale: Lactose intolerance reduces calcium intake, increasing osteoporosis risk.