ATI LPN
ATI Learning System PN Medical Surgical Final Quizlet Questions
Question 1 of 5
The community mental health nurse is planning to visit four clients with schizophrenia today. Which client should the nurse see first?
Correct Answer: A
Rationale: The mother who took her children from school due to delusions of aliens poses a significant risk to her children and herself. This situation requires immediate attention to ensure the safety and well-being of all involved.
Question 2 of 5
A client with a new diagnosis of myasthenia gravis is prescribed pyridostigmine (Mestinon). Which instruction should the nurse include in the client's teaching?
Correct Answer: B
Rationale: The correct instruction for a client with myasthenia gravis prescribed pyridostigmine (Mestinon) is to take the medication 30 minutes before meals. This timing is crucial as it helps improve muscle strength for eating and swallowing. By taking the medication before meals, the client can experience enhanced muscle function during mealtime, which is especially important for managing the symptoms of myasthenia gravis.
Question 3 of 5
A patient with a diagnosis of peptic ulcer disease is prescribed omeprazole. When should the patient take this medication for optimal effectiveness?
Correct Answer: C
Rationale: Omeprazole is best taken before meals for optimal effectiveness in reducing stomach acid production and promoting ulcer healing. Taking it before meals allows the medication to act on the proton pumps before food intake triggers acid production, thereby maximizing its therapeutic benefits.
Question 4 of 5
The community health nurse is working in a multi-ethnic health center. In what situation should the nurse intervene?
Correct Answer: D
Rationale: Losing weight in an infant, especially when combined with spitting up milk, requires immediate intervention to address potential health concerns.
Question 5 of 5
The patient admitted with diabetic ketoacidosis has rapid, deep respirations. What action should the nurse take?
Correct Answer: C
Rationale: The rapid, deep (Kussmaul) respirations in a patient with diabetic ketoacidosis indicate a metabolic acidosis, necessitating correction with a saline bolus to prevent hypovolemia, followed by insulin administration to facilitate glucose re-entry into cells. Oxygen therapy is not warranted as the increased respiratory rate is not due to hypoxemia but is compensatory in response to acidosis. Encouraging slow breathing or administering lorazepam would be inappropriate as they can worsen the acidosis by suppressing the compensatory respiratory effort.
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