ATI LPN
ATI LPN Med Surg Questions
Extract:
A nurse is collecting data from a client who has acute gastroenteritis.
Question 1 of 5
Which of the following data collection findings should the nurse identify as the priority?
Correct Answer: A
Rationale: Potassium 2.5 mEq/L. This is the priority data collection finding that the nurse should identify according to the ABCDE principle. Hypokalemia can cause cardiac arrhythmias, muscle weakness, and paralysis, which can be life-threatening.
Extract:
A nurse is caring for a client who has type 1 diabetes mellitus. The nurse misread the client's morning fasting blood glucose level as 210 mg/dL instead of 120 mg/dL and administered the insulin dose appropriate for reading over 200 mg/dL.
Question 2 of 5
Which of the following actions should the nurse identify as the priority?
Correct Answer: D
Rationale: Check the client's blood glucose level. This is the priority action that the nurse should identify according to the ABCDE principle, which prioritizes interventions based on airway, breathing, circulation, disability, and exposure. The nurse should check the client's blood glucose level to confirm the error and assess the risk of hypoglycemia.
Extract:
A nurse is collecting data from a client who is African American and has cholecystitis.
Question 3 of 5
Which of the following areas should the nurse inspect to monitor for the presence of jaundice?
Correct Answer: D
Rationale: Hard palate. This is an area that the nurse should inspect to monitor for the presence of jaundice in a client who is African American and has cholecystitis, which is an inflammation of the gallbladder. The hard palate can show jaundice, especially in clients with dark skin tones.
Extract:
A nurse in a clinic is caring for a client who has a new diagnosis of hypothyroidism.
Question 4 of 5
Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Weight gain. This is a finding that the nurse should expect in a client who has a new diagnosis of hypothyroidism, which is a condition that occurs when the thyroid gland does not produce enough thyroid hormone. Hypothyroidism can cause weight gain due to decreased metabolic rate and increased fluid retention.
Extract:
A nurse is assisting with the plan of care for a client who is 4 hr postoperative from a subtotal thyroidectomy.
Question 5 of 5
Which of the following implementations should the nurse recommend?
Correct Answer: A
Rationale: Check for bleeding on the dressing at the back of the client's neck. This is an implementation that the nurse should recommend for a client who is 4 hr postoperative from a subtotal thyroidectomy, which is a surgical removal of part of the thyroid gland. The nurse should check for bleeding on the dressing at the back of the client's neck because this is where blood can pool and go unnoticed. Bleeding can cause hematoma, compression of the airway, and respiratory distress.