ATI LPN
ATI LPN Med Surg Questions
Extract:
A nurse is caring for a client who is scheduled for a colonoscopy. The client asks the nurse if there will be a lot of pain during the procedure.
Question 1 of 5
Which of the following responses should the nurse make?
Correct Answer: D
Rationale: You may feel some cramping during the procedure. This is a response that the nurse should make to the client who is scheduled for a colonoscopy, which is a diagnostic test that uses a flexible tube with a camera to examine the colon and rectum. The nurse should inform the client that they may feel some cramping during the procedure as the tube is inserted and moved through the colon.
Extract:
A nurse is reinforcing teaching with a client who has diabetes mellitus type 1 about sick-day management.
Question 2 of 5
Which of the following is the priority action for the nurse to recommend to the client?
Correct Answer: A
Rationale: Monitor blood glucose levels every 4 hours. This is the priority action for the nurse to recommend to the client because it will help them detect and prevent hyperglycemia or hypoglycemia, which can lead to serious complications such as diabetic ketoacidosis or cerebral edema.
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 3 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 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 collecting data from a client who has gastroesophageal reflux disease (GERD) and reports having heartburn every night.
Question 5 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.