ATI LPN
Foundations and Adult Health Nursing Test Bank
Chapter 48 Questions
Question 1 of 5
The nurse notes a run of three ventricular contractions (PVC) that are not preceded by a P wave. This particular arrhythmia can progress into which complication?
Correct Answer: C
Rationale: PVCs are capable of progressing into ventricular tachycardia and death.
Question 2 of 5
The plan of care for a patient recovering from hip surgery mentions prevention of deep vein thrombosis (DVT). Which aspect of the plan of care addresses this concern?
Correct Answer: C
Rationale: The plan of care to prevent deep vein thrombosis should mention changing positions, dorsiflexing the feet and rotating ankles every 2 to 4 hours. Massaging the calves of the leg is contraindicated, as the massage could loosen a blood clot. There is no need to restrict fluids. Removing the stockings off at night is not an appropriate intervention, because a DVT could form.
Question 3 of 5
A patient admitted to the emergency room with a possible myocardial infarction (MI) has reports back from the laboratory. Which laboratory report is specific for myocardial damage?
Correct Answer: A
Rationale: The CK-MB is elevated when there is infarcted myocardial muscle. The elevated white count, low sodium, and ESR are nonspecific.
Question 4 of 5
The patient has a total cholesterol of 190 with a high-density lipid (HDL) of 110 and a low-density lipid (LDL) of 80. The nurse reinforces which instruction?
Correct Answer: A
Rationale:
Total cholesterol of less than 200 is desirable. The higher the number of HDLs the better. A high number of LDLs puts the patient at risk for heart disease.
Question 5 of 5
Which assessment would lead the nurse to examine the leg closely for evidence of a stasis ulcer?
Correct Answer: B
Rationale: Signs of a venous disorder include darker, thick and toughened skin. Venous disorders can lead to a stasis ulcer. Cool hairless limbs with absent or weak pedal pulses are indicative of arterial insufficiency.