ATI LPN
ATI LPN Med Surg U13 Exam Questions
Extract:
Question 1 of 5
When caring for older adult clients at a long-term care facility, which of the following assessments should the nurse prioritize when evaluating for the risk and presence of urinary retention? (Select all that apply.)
Correct Answer: A,B,E
Rationale: A, B, E: Observing changes in urinary patterns, assessing for symptoms like hesitancy or incomplete emptying, and evaluating for bladder distention are key assessments for urinary retention. Overhydration can worsen retention, and applying pressure risks bladder injury.
Extract:
Vital Signs
Blood pressure 88/54 mmHg, heart rate 115 bpm, respiratory rate 22 breaths per minute, and oxygen saturation 94% on room air.
A 55-year-old male patient presents to the emergency department with complaints of acute gastrointestinal (GI) bleeding. The patient reports passing black, tarry stools and experiencing dizziness and weakness. On physical examination, he is pale and diaphoretic.
Initial CBC results:
White Blood Cell Count (WBC): 15,000 cells/µL (4,000 - 11,000 cells/µL)
Hemoglobin (Hgb): 6.5 g/dl (12.0 - 16.0 g/dL)
Hematocrit (Hct): 33% (37% - 47%)
Platelet Count: 250,000 cells/µL (150,000 - 450,000 cells/µL)
Question 2 of 5
A 55-year-old male patient presents to the emergency department with complaints of acute gastrointestinal (GI) bleeding. Which of the following are the most appropriate initial nursing interventions for this patient? (Select all that apply)
Correct Answer: A,B,C,D
Rationale: A, B, C, D: Administering IV fluids addresses hypotension and tachycardia, preparing for a blood transfusion corrects severe anemia, monitoring hemoglobin and hematocrit assesses anemia severity, and a PPI helps control bleeding. Oral iron supplements are not suitable for acute bleeding.
Extract:
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 patient with a nasogastric (NG) tube in place is experiencing respiratory distress. What is the most appropriate initial nursing intervention?
Correct Answer: C
Rationale: Check the placement of the NG tube: Respiratory distress may indicate NG tube misplacement into the lungs, which can obstruct breathing. Verifying placement is critical before other interventions like elevating the bed, administering bronchodilators, or increasing oxygen.
Question 5 of 5
A nurse is assessing an older adult client who has a urinary tract infection (UTI). Which of the following findings should the nurse identify as unique for this age group?
Correct Answer: B
Rationale: Confusion: In older adults, UTIs often present with atypical symptoms like confusion or delirium, unlike classic symptoms in younger patients. Low back pain, retention, and incontinence are not unique to this group.