ATI LPN
ATI LPN Med Surg U13 Exam Questions
Extract:
Question 1 of 5
Which of the following client statements demonstrates a comprehensive understanding of the dietary and lifestyle modifications necessary for managing symptoms associated with a hiatal hernia? (Select all that apply.)
Correct Answer: A,B,E
Rationale: A, B, E: Maintaining a healthy weight, elevating the bed, and avoiding caffeine/spicy foods reduce hiatal hernia symptoms. Less fluid and lying down after meals are not recommended.
Question 2 of 5
A nurse is caring for a client who is experiencing an acute exacerbation of ulcerative colitis. The nurse should recognize that which of the following actions is the priority?
Correct Answer: D
Rationale: Evaluate fluid and electrolyte levels: Fluid and electrolyte imbalances from diarrhea and bleeding are critical during an exacerbation, making this the priority to prevent complications like dehydration or hypovolemia.
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 3 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 4 of 5
A nurse is reinforcing teaching to a client who has been newly diagnosed with hepatitis C. The client asks how they could have contracted the virus. Which of the following nurse responses best explains how the client may have become infected with hepatitis C?
Correct Answer: B
Rationale: Coming into contact with infected blood: Hepatitis C is primarily spread through blood-to-blood contact, such as sharing needles. Food, saliva, or alcohol do not transmit hepatitis C.
Question 5 of 5
A female patient presents to the emergency department with severe abdominal pain localized to the right lower quadrant, nausea, and a low-grade fever. After performing a physical examination and diagnostic imaging, the patient is diagnosed with acute appendicitis. What is the most appropriate initial intervention?
Correct Answer: D
Rationale: Prepare the patient for an appendectomy: Appendectomy is the standard treatment for acute appendicitis to prevent complications like perforation. Antibiotics alone, discharge, or diet/rest are not appropriate.