ATI LPN
ATI LPN Med Surg Questions
Extract:
A nurse is collecting data from a client who has gastroesophageal reflux disease (GERD) and reports having heartburn every night.
Question 1 of 5
Which of the following actions should the nurse identify as a contributing factor to the client's heartburn?
Correct Answer: A
Rationale: Drinking orange juice regularly. This is a contributing factor to the client's heartburn because orange juice is acidic and can irritate the esophageal mucosa and lower esophageal sphincter, causing reflux of gastric contents into the esophagus.
Extract:
A nurse is planning care for a client who is 1 day postoperative following a partial bowel resection. The client requires a complete dressing change, total parenteral nutrition administration, daily weight and is reporting pain at a level of 6 on a 0 to 10 scale.
Question 2 of 5
Which of the following nursing actions should the nurse plan to complete first?
Correct Answer: C
Rationale: Administer pain medication. This is the priority nursing action because the nurse should follow the principle of Maslow's hierarchy of needs and address the client's physiological needs first. Pain can interfere with the client's healing process and affect their quality of life.
Extract:
A nurse is reinforcing teaching of a female client who has a family history of type 2 diabetes mellitus.
Question 3 of 5
The nurse should include which of the following risk factors for developing type 2 diabetes mellitus in the teaching?
Correct Answer: A
Rationale: Sedentary lifestyle. This is a risk factor for developing type 2 diabetes mellitus, which can increase the risk by reducing physical activity, which improves insulin sensitivity and lowers blood glucose levels.
Extract:
A nurse is collecting data from a client who has gastroesophageal reflux disease (GERD) and reports having heartburn every night.
Question 4 of 5
Which of the following actions should the nurse identify as a contributing factor to the client's heartburn?
Correct Answer: A
Rationale: Drinking orange juice regularly. This is a contributing factor to the client's heartburn because orange juice is acidic and can irritate the esophageal mucosa and lower esophageal sphincter, causing reflux of gastric contents into the esophagus.
Extract:
A nurse is caring for a client who is scheduled for a colonoscopy. The client asks the nurse if there will be a lot of pain during the procedure.
Question 5 of 5
Which of the following responses should the nurse make?
Correct Answer: D
Rationale: You may feel some cramping during the procedure. This is a response that the nurse should make to the client who is scheduled for a colonoscopy, which is a diagnostic test that uses a flexible tube with a camera to examine the colon and rectum. The nurse should inform the client that they may feel some cramping during the procedure as the tube is inserted and moved through the colon.