ATI LPN
ATI LPN Med Surg Exam 4 Questions
Question 1 of 5
A nurse administered nitroglycerin sublingually to a client who has angina pectoris and experienced chest pain. The client states that his chest pain is relieved but now he has a headache. Which of the following responses by the nurse is appropriate?
Correct Answer: C
Rationale: Nitroglycerin commonly causes headaches due to vasodilation, which usually lessens over time as thekkal.
Question 2 of 5
A nurse is caring for a client who is scheduled for a Tensilon challenge test to check for myasthenia gravis. Which of the following findings should the nurse identify as a positive result?
Correct Answer: A
Rationale: A positive Tensilon test result is temporary improvement in muscle strength, confirming myasthenia gravis.
Question 3 of 5
A nurse is reinforcing teaching with a client about risk factors for heart disease. Which of the following risk factors is modifiable?
Correct Answer: B,C,D,E
Rationale: Sedentary lifestyle, smoking, diabetes, and hypertension are modifiable through lifestyle changes and medical management.
Question 4 of 5
A nurse is caring for a client who has a spinal cord injury at T-4. The nurse should recognize that the client is at risk for autonomic dysreflexia. Which of the following interventions should the nurse take to prevent autonomic dysreflexia?
Correct Answer: A
Rationale: Preventing bladder distention by ensuring regular bladder emptying can help prevent autonomic dysreflexia, which is often triggered by noxious stimuli like bladder distention.
Question 5 of 5
A nurse is caring for a client who had a stroke and has dysphagia. The nurse should monitor the client for which of the following complications?
Correct Answer: A
Rationale: Dysphagia increases the risk of aspiration, especially when swallowing difficulties are present, making it essential to monitor for signs of aspiration.