ATI LPN
Medical Surgical ATI Proctored Exam Questions
Question 1 of 5
A client is being treated with an antidepressant for major depressive disorder. Which statement by the client indicates a need for further teaching?
Correct Answer: C
Rationale: Correct Answer: C Rationale: 1. Stopping medication abruptly can lead to withdrawal symptoms and a potential relapse of depressive symptoms. 2. The client should be educated on the importance of completing the full course of treatment. 3. This statement indicates a lack of understanding regarding the need for continued medication adherence. 4. Choices A, B, and D are all appropriate and demonstrate good understanding of antidepressant treatment.
Question 2 of 5
A client with a history of deep vein thrombosis (DVT) is receiving warfarin (Coumadin). Which laboratory value indicates a therapeutic effect of the medication?
Correct Answer: A
Rationale: The correct answer is A: INR of 2.5. INR (International Normalized Ratio) is used to monitor the effectiveness of warfarin therapy. A target INR range for DVT treatment is typically 2.0-3.0. An INR of 2.5 indicates that the client's blood is clotting within the desired therapeutic range, preventing excessive clotting while avoiding excessive bleeding. B: PTT measures the effectiveness of heparin, not warfarin. C: Hemoglobin level and D: Platelet count are not specific indicators of warfarin's therapeutic effect on clotting factors. In summary, the correct answer A is the most relevant laboratory value for monitoring the therapeutic effect of warfarin in a client with DVT.
Question 3 of 5
A client with chronic obstructive pulmonary disease (COPD) is receiving oxygen therapy. Which instruction should the nurse provide?
Correct Answer: A
Rationale: The correct answer is A: Use oxygen continuously, even while sleeping. In COPD, maintaining consistent oxygen levels is crucial to prevent hypoxia. Oxygen therapy should be used continuously, including during sleep, to ensure adequate oxygenation. Using oxygen only when short of breath (Choice B) may lead to hypoxia during periods of rest. Reporting difficulty breathing (Choice C) is important but not specific to oxygen therapy. Taking off oxygen while eating or drinking (Choice D) can result in decreased oxygen levels, which can be dangerous for someone with COPD.
Question 4 of 5
A client admitted with a diagnosis of sepsis has a central venous pressure (CVP) of 15 mm Hg. What should the nurse do first?
Correct Answer: B
Rationale: The correct answer is B: Notify the healthcare provider immediately. A CVP of 15 mm Hg in a client with sepsis may indicate fluid overload or cardiac dysfunction, which require prompt medical intervention. Notifying the healthcare provider allows for timely assessment and appropriate management. Administering a fluid bolus (A) without further evaluation can exacerbate fluid overload. Administering a diuretic (C) without knowing the underlying cause can be harmful. Continuing to monitor the CVP (D) is important, but immediate action is required due to the high CVP level.
Question 5 of 5
A client with a diagnosis of rheumatoid arthritis is experiencing severe pain. Which medication is likely to be prescribed?
Correct Answer: C
Rationale: The correct answer is C: Methotrexate (Rheumatrex). Methotrexate is a disease-modifying antirheumatic drug commonly prescribed for managing rheumatoid arthritis. It helps reduce inflammation and pain by targeting the immune system's overactivity. Acetaminophen (A) is a mild pain reliever and does not treat the underlying inflammation in rheumatoid arthritis. Ibuprofen (B) is a nonsteroidal anti-inflammatory drug (NSAID) that can help with pain and inflammation but is not as effective in managing rheumatoid arthritis as methotrexate. Prednisone (D) is a corticosteroid that can provide quick relief from inflammation and pain, but it is typically used for short-term management due to its potential side effects.