ATI LPN
ATI LPN Med Surg Exam 7 Questions
Extract:
Question 1 of 5
Which of the following is a characteristic feature of irritable bowel syndrome?
Correct Answer: B
Rationale: IBS is characterized by a change in bowel habits, which may include alternating episodes of constipation and diarrhea. Weight loss and malnutrition are not typical; they suggest other conditions like inflammatory bowel disease. Severe rectal bleeding is not associated with IBS but with conditions like hemorrhoids or colorectal cancer. Fever and leukocytosis indicate systemic inflammation, not IBS.
Question 2 of 5
A nurse is caring for a client who is using a patient-controlled analgesia (PCA) pump. The client's partner asks if she can press the button for the client while he is sleeping. Which of the following responses should the nurse make?
Correct Answer: D
Rationale: Only the client should use the PCA to prevent over-sedation, ensuring safe pain management based on their perceived need.
Question 3 of 5
The nurse is providing education to a client with a history of Crohn's Disease and a new diagnosis of anemia. Which of the following statements by the client would require further teaching?
Correct Answer: B
Rationale: Villi damage is specific to celiac disease, not Crohn's, which affects the entire intestinal wall. Chronic blood loss, poor nutrition, and iron supplementation are accurate for Crohn's-related anemia.
Question 4 of 5
A nurse is caring for a client who states he has a nevus that has increased in size and changed in color. On examination, the nurse notes an elevated two centimeter lesion that is dark brownish-black in color with irregular borders. The nurse should recognize that these findings are consistent with which of the following medical diagnoses?
Correct Answer: A
Rationale: The lesion's dark color, size increase, and irregular borders are characteristic of malignant melanoma, a rapidly metastasizing skin cancer.
Question 5 of 5
A nurse is collecting data from a client. The provider suspects the client may have the syndrome of inappropriate antidiuretic hormone (SIADH). When obtaining a medical history, the nurse should ask for additional information about which of the following conditions?
Correct Answer: B,C,E
Rationale: Lung cancer, liver cirrhosis, and seizures are associated with SIADH due to their potential to trigger inappropriate ADH secretion, leading to fluid retention and hyponatremia.