ATI LPN
ATI LPN UT1 Med Surg Exam Questions
Extract:
History
A 50-year-old male presents with a 2-week history of persistent facial pain, nasal congestion, and a thick, yellowish nasal discharge.
He also reports a decreased sense of smell and worsening headache that seems to be localized around his forehead and cheekbones.
Examination
A 50-year-old male presents with a 2-week history of persistent facial pain, nasal congestion, and a thick, yellowish nasal discharge.
He also reports a decreased sense of smell and worsening headache that seems to be localized around his forehead and cheekbones.
Question 1 of 5
Which of the following is the most appropriate treatment for this patient, given the likely diagnosis of acute sinusitis?
Correct Answer: C
Rationale: Oral antibiotics are indicated for acute bacterial sinusitis lasting longer than 10 days to target the underlying infection.
Extract:
Question 2 of 5
The nurse is reinforcing discharge instructions to the client with pulmonary sarcoidosis. The nurse knows that the client understands the information if the client verbalizes which early sign of exacerbation?
Correct Answer: D
Rationale: Shortness of breath is a significant early indicator of exacerbation in pulmonary sarcoidosis, reflecting worsening lung function.
Question 3 of 5
A nurse at a long-term care facility is reinforcing teaching with a newly hired nurse about the care of clients who are receiving mechanical ventilation. Which of the following information should the nurse include?
Correct Answer: B
Rationale: Elevating the head of the bed to 30-45° reduces the risk of ventilator-associated pneumonia by preventing aspiration.
Question 4 of 5
A nurse is reinforcing discharge instructions for a client who has asthma and is about to start using beclomethasone MDI. For which of the following findings should the nurse instruct the client to monitor and report to the provider as an adverse effect of the medication?
Correct Answer: C
Rationale: A white coating in the mouth may indicate oral thrush, a fungal infection caused by Candida species, which is a known adverse effect of inhaled corticosteroids like beclomethasone.
Question 5 of 5
A nurse is assessing a client who has respiratory alkalosis. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Respiratory alkalosis is typically caused by hyperventilation, which leads to excessive loss of carbon dioxide and an increase in blood pH.