ATI LPN
ATI LPN Med Surg Questions
Extract:
A nurse is collecting data from a client who has peptic ulcer disease.
Question 1 of 5
Which of the following findings is a manifestation of gastrointestinal perforation?
Correct Answer: D
Rationale: Severe upper abdominal pain. This is a manifestation of gastrointestinal perforation, which is a life-threatening complication of peptic ulcer disease. Peritonitis can cause severe upper abdominal pain, which may radiate to the shoulder or back.
Extract:
A nurse is assessing a client who has advanced cirrhosis.
Question 2 of 5
Which of the following manifestations should the nurse expect to find?
Correct Answer: C
Rationale: Spider angioma. This is a manifestation that the nurse should expect to find in a client who has advanced cirrhosis, which is a chronic liver disease that causes scarring and impaired liver function. Spider angioma is a type of vascular lesion that appears as a red spot with radiating branches on the skin, usually on the face, neck, chest, or upper arms.
Extract:
A nurse is caring for a client who has developed a Clostridium difficile infection following antibiotic therapy.
Question 3 of 5
Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Disinfect equipment with bleach solution. This is an action that the nurse should take for a client who has developed a Clostridium difficile infection, which is a bacterial infection that causes severe diarrhea and inflammation of the colon. The nurse should disinfect equipment with bleach solution, which can kill the spores and prevent transmission.
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 4 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 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.