ATI LPN
ATI LPN Med Surg Questions
Extract:
A nurse is contributing to the plan of care for a client who has cirrhosis and ascites.
Question 1 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 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 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 assessing a client who has advanced cirrhosis.
Question 4 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 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 5 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.