ATI LPN
ATI LPN Med Surg Questions
Extract:
A nurse is assisting with the plan of care for a client who is 4 hr postoperative from a subtotal thyroidectomy.
Question 1 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.
Extract:
A nurse is caring for a client who is postoperative and has a history of Addison's disease.
Question 2 of 5
For which of the following manifestations should the nurse monitor?
Correct Answer: C
Rationale: Hypotension. This is a manifestation that the nurse should monitor for in a client who is postoperative and has a history of Addison's disease, which can cause hypotension due to decreased aldosterone production and fluid loss.
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 caring for a client who has developed a Clostridium difficile infection following antibiotic therapy.
Question 4 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 collecting data from a client who has peptic ulcer disease.
Question 5 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.