ATI LPN
ATI LPN Med Surg Questions
Extract:
A nurse is caring for a client who has Cushing's syndrome.
Question 1 of 5
Which of the following clinical manifestations should the nurse expect to observe? (Select all that apply.)
Correct Answer: A,C,E
Rationale: Purple striations, Buffalo hump, Moon face. These are caused by excess cortisol in Cushing's syndrome, leading to skin thinning, fat redistribution to the upper back, and facial rounding.
Extract:
A nurse is collecting data from a client who has diverticular disease.
Question 2 of 5
The nurse should expect the client to report abdominal pain in which of the following locations?
Correct Answer: B
Rationale: Lower left quadrant. This is the location where the nurse should expect the client to report abdominal pain who has diverticular disease, which commonly affects the sigmoid colon.
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 3 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.
Extract:
A nurse is contributing to the plan of care for a client who has cirrhosis and ascites.
Question 4 of 5
Which of the following interventions should the nurse recommend for inclusion in the plan of care?
Correct Answer: B
Rationale: Decrease the client's fluid intake. This is an intervention that the nurse should recommend for a client who has cirrhosis and ascites. Decreasing fluid intake can help reduce fluid retention and prevent further distension of the abdomen.
Extract:
A nurse is assisting with the care of a client who is 1 day postoperative following a thyroidectomy and reports severe muscle spasms of the lower extremities.
Question 5 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Determine the client's calcium level. This is the priority action for the nurse to take because the client might have hypocalcemia, which is a low level of calcium in the blood. Hypocalcemia can occur after a thyroidectomy due to accidental removal or damage of the parathyroid glands, which regulate calcium levels. Hypocalcemia can cause muscle spasms, tetany, paresthesia, and seizures.