ATI PN ADULT MED SURG PROCTORED EXAM ACTUAL EXAM TEST BANK

1




ATI PN ADULT MED SURG PROCTORED EXAM
ACTUAL EXAM TEST BANK



The LPN/LVN cares for a client diagnosed with type 2 diabetes. The client is to
have a surgical procedure. The client asks, "Why do I have to receive insulin
injections after the surgery?" What is the most appropriate response by the
LPN/LVN?


1.) "It will be more difficult to control your blood glucose due to the risk of
infection."
2.) "Your blood glucose may vary after surgery and your glucose will be checked
frequently."

3.) "It will be necessary for you to take insulin for several weeks after
surgery."

4.) "You oral diabetic medication will not be effective after surgery." -
ANSWER-2.) "Your blood glucose may vary after surgery and your glucose will
be checked frequently."

,2




The LPN/LVN cares for a client diagnosed with the syndrome of inappropriate
antidiuretic hormone syndrome (SIADH). What will the LPN/LVN expect to
observe?


1.) Poor skin turgor
2.) Increased body weight
3.) Pale, dilute urine
4.) Increased urine output - ANSWER-2.) Increased body weight


The LPN/LVN reinforces teaching for a client diagnosed with type 1 diabetes
mellitus. Which statement by the client indicates understanding of the teaching?


1.) "I should continue to check my blood glucose level if I have the flu."
2.) "I will decrease my dosage of insulin when I have the flu."
3.) "If I come down with the flu, I should not take my insulin that day."
4.) "If I have the flu, I should avoid all fluids until I feel better." - ANSWER-1.)
"I should continue to check my blood glucose level if I have the flu."


The LPN/LVN cares for a client recently diagnosed with hyperthyroidism. Which
statement by the client should the LPN/LVN report to the nurse/

,3




1.) "My bowel movements are more frequent now."
2.) "I have noticed that my hair is thinner during the last couple of
months."
3.) "I noticed that my appetite was increased during the last few weeks."
4.) "My heart sometimes feels like it is pounding and beating rapidly." -
ANSWER-4.) "My heart sometimes feels like it is pounding and beating rapidly."


The LPN/LVN reinforces teaching for a client taking levothyroxine sodium. Which
statement by the client indicates understanding of the teaching?


1.) "I should not contact my health care provider if I develop heart
palpitations."

2.) "It is expected that I will gain weight while taking this medication."
3.) "I may develop increased sensitivity to cold temperatures."
4.) "Constipation will be more of a problem for me now." - ANSWER-
1.) "I should contact my health care provider if I develop heart
palpitations."


The LPN/LVN reviews laboratory reports for a client diagnosed with adrenal
insufficiency (Addison disease) who had a total hip replacement 12 hours ago. The
LPN/LVN expects to see an abnormal value for which laboratory test?

, 4




1.) Aspartate transaminase (AST)
2.) Serum creatinine
3.) Serum calcium
4.) Serum sodium - ANSWER-4.) Serum sodium


The LPN/LVN cares for a client diagnosed with Cushing syndrome. What will the
LPN/LVN expect to observe? (Select all that apply.)


1.) Weight loss
2.) Bronze colored skin
3.) Central obesity
4.) Decreased serum sodium
5.) Rounding of face
6.) Low blood pressure - ANSWER-3.) Central obesity
5.) Rounding of face


The LPN/LVN prepares a room for a client who had a subtotal thyroidectomy.
What equipment is most important to be placed in the room?


1.) A closed chest drainage insertion tray
2.) A urine specific gravity montior