ATI LPN
ATI LPN Med Surg Questions
Extract:
A nurse is planning care for a client who is 1 day postoperative following a partial bowel resection. The client requires a complete dressing change, total parenteral nutrition administration, daily weight and is reporting pain at a level of 6 on a 0 to 10 scale.
Question 1 of 5
Which of the following nursing actions should the nurse plan to complete first?
Correct Answer: C
Rationale: Administer pain medication. This is the priority nursing action because the nurse should follow the principle of Maslow's hierarchy of needs and address the client's physiological needs first. Pain can interfere with the client's healing process and affect their quality of life.
Extract:
A nurse is collecting data from a client who has diabetes mellitus.
Question 2 of 5
Which of the following findings indicates that the client is experiencing DKA?
Correct Answer: D
Rationale: Polydipsia indicates DKA due to dehydration from osmotic diuresis caused by hyperglycemia, a hallmark of this condition.
Extract:
A nurse is caring for a client who has Cushing's syndrome.
Question 3 of 5
Which of the following clinical manifestations should the nurse expect to observe? (Select all that apply.)
Correct Answer: A,C,E
Rationale: Purple striations, Buffalo hump, Moon face. These are caused by excess cortisol in Cushing's syndrome, leading to skin thinning, fat redistribution to the upper back, and facial rounding.
Extract:
A nurse is collecting data from a client who has peptic ulcer disease.
Question 4 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.
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.