ATI LPN
ATI LPN Med Surg Level 2 Test Questions
Extract:
Question 1 of 5
Which of the following strategies is most effective in preventing osteoporosis in older adults?
Correct Answer: C
Rationale: Weight-bearing exercises, such as walking or lifting weights, are the most effective in promoting bone health and preventing osteoporosis.
Question 2 of 5
The nurse is providing preoperative care for a patient who is scheduled for joint replacement the next day. What should the nurse include with care?
Correct Answer: B
Rationale: Preoperative skin cleaning with antibacterial cloths is crucial to reduce the risk of postoperative infections.
Question 3 of 5
A patient with gout has been instructed on the prescribed medication allopurinol (Zyloprim). Which patient statement indicates understanding of the action of this medication?
Correct Answer: C
Rationale: Allopurinol inhibits uric acid production, reducing levels in the body.
Extract:
Nurses Notes
Day 1 1100:
Client admitted from the emergency department after falling at home. Client reports pain in right hip and lower back. Alert and oriented to person, place, and time. Bilateral breath sounds are clear. Pedal pulses +2: skin is pink and warm to touch: movement and sensation intact to extremities. Reddened and ecchymotic areas noted on the middle to lower back and right hip. Slight edema to sacral and iliac region present.
Day 2 0945:
Client unable to void and bladder is distended. Indwelling urinary catheter inserted: draining dark, reddish-brown colored urine: edema to sacral and illac region 2+. Lower extremities cool to touch, pedal pulses 1+ bilaterally, capillary refill time 6 seconds
Diagnostic Results
1200:
CT scan of lower back, hip, and pelvis region shows hairline fractures to right hip and anterior pelvis.
Vital Signs:
Day 1 1200:
Temperature 36.4° C (97.5° F)
Heart rate 92/min
Respiratory rate 22/min
Blood pressure 146/85 mm Hg
Oxygen saturation 95%
Day 2 0945:
Temperature 37.2° C (98.9° F)
Heart rate 108/min
Respiratory rate 24/min
Blood pressure 154/78 mm Hg
Oxygen saturation 96%
Question 4 of 5
The nurse is caring for a client who has a hip and pelvis fracture. Select the 4 findings on Day 2 that require immediate follow-up.
Correct Answer: A,C,E,F
Rationale: Heart rate increase, worsening edema, dark reddish-brown urine, and diminished pedal pulses indicate potential complications requiring immediate attention.
Extract:
Question 5 of 5
A nurse is collecting data from a client who has multiple fractures in his left leg and reports severe pain and tingling in the extremity. The nurse should suspect which of the following complications?
Correct Answer: D
Rationale: Acute compartment syndrome is characterized by increased pressure within a muscle compartment, leading to severe pain and tingling, consistent with the symptoms described.