ATI LPN
ATI LPN Med Surg Questions
Extract:
A nurse is assisting with the plan of care for a client who has hypothyroidism with myxedema.
Question 1 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.
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 2 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 collecting data from a client who has gastroesophageal reflux disease (GERD) and reports having heartburn every night.
Question 3 of 5
Which of the following actions should the nurse identify as a contributing factor to the client's heartburn?
Correct Answer: A
Rationale: Drinking orange juice regularly. This is a contributing factor to the client's heartburn because orange juice is acidic and can irritate the esophageal mucosa and lower esophageal sphincter, causing reflux of gastric contents into the esophagus.
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 4 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 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.