ATI LPN
ATI LPN Med Surg Questions
Extract:
The nurse is caring for a client who has a bowel obstruction and a new prescription for the insertion of a nasogastric tube.
Question 1 of 5
Which of the following interventions should the nurse take when inserting the nasogastric tube?
Correct Answer: D
Rationale: Instruct the client to place his chin to his chest and swallow. This is an intervention that the nurse should take when inserting a nasogastric tube, which is a flexible tube that is inserted through the nose and into the stomach. This can facilitate the insertion of the tube and prevent it from entering the trachea.
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 2 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.
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 3 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 has acute gastroenteritis.
Question 4 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 assisting with the plan of care for a client who has hypothyroidism with myxedema.
Question 5 of 5
Which of the following interventions should the nurse include in the plan of care?
Correct Answer: B
Rationale: Apply warm blankets. This is an intervention that the nurse should include for a client who has hypothyroidism with myxedema. Applying warm blankets can help maintain body temperature and prevent hypothermia.