ATI LPN
ATI LPN Med Surg Level 3 Questions
Question 1 of 5
A nurse is collecting data from a client who has right-sided heart failure. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: Peripheral edema is a classic symptom of right-sided heart failure due to systemic venous congestion.
Question 2 of 5
A nurse in a clinic is reviewing teaching about food choices with a client who has recently begun taking warfarin. The nurse should instruct the client to limit consumption of which of the following foods?
Correct Answer: A
Rationale: Kale is high in vitamin K, which can counteract the effects of warfarin, reducing its effectiveness.
Question 3 of 5
A nurse is reinforcing teaching with an older adult client who has had a newly inserted permanent pacemaker. Which of the following manifestations should the nurse include in the teaching as a pacemaker malfunction that the client should report to the provider?
Correct Answer: A
Rationale: Fatigue may indicate ineffective pacemaker function, leading to inadequate heart rate and cardiac output.
Question 4 of 5
A nurse us collecting data from a client who has right sided heart faiulure. Which of the following should the nurse expect?
Correct Answer: C
Rationale: Hepatomegaly is a sign of right-sided heart failure due to systemic venous congestion affecting the liver.
Question 5 of 5
A nurse is planning to perform an electrocardiogram (ECG) for a client who has a history of coronary heart disease. Which of the following actions should the nurse take? (Select all that apply.)
Correct Answer: A,B,C,E
Rationale: Cleaning skin, ensuring no movement, inspecting electrodes, and instructing normal breathing ensure accurate ECG results. Analgesics and NPO status are unnecessary.