ATI LPN
ATI Medical Surgical Proctored Exam 2019 Quizlet Questions
Question 1 of 4
A client with type 2 diabetes mellitus is prescribed metformin (Glucophage). Which instruction should the nurse provide?
Correct Answer: C
Rationale: The correct answer is C: Monitor your blood glucose levels regularly. This is important because metformin helps lower blood sugar levels, and monitoring glucose levels helps ensure the medication is effective and the client is not experiencing hypoglycemia or hyperglycemia. Option A is incorrect because metformin should be taken with meals to reduce gastrointestinal side effects. Option B is incorrect as metformin does not typically require fluid restriction. Option D is incorrect as metformin does not affect potassium levels. Regularly monitoring blood glucose levels is crucial for managing type 2 diabetes effectively.
Question 2 of 4
Which assessment finding indicates a client's readiness to leave the nursing unit for a bronchoscopy?
Correct Answer: C
Rationale: Rationale: Option C, on-call sedation administered, is the correct answer because sedation is essential for bronchoscopy to ensure the client is comfortable and cooperative during the procedure. Sedation helps reduce anxiety and discomfort, making the procedure more tolerable. Options A, B, and D are incorrect as they do not directly indicate readiness for the procedure. Denying allergies to contrast media (A) is important but not specific to bronchoscopy readiness. Skin prep completion (B) is part of the pre-procedure preparation but does not confirm readiness. Oxygen administration (D) is a routine care measure and does not indicate readiness for bronchoscopy.
Question 3 of 4
A 62-year-old male client with a history of coronary artery disease complains that his heart is 'racing' and he often feels dizzy. His blood pressure is 110/60, and he uses portable oxygen at 2 liters per nasal cannula. Based on the rhythm shown, which prescription should the nurse administer?
Correct Answer: C
Rationale: The correct answer is C: Administer IV adenosine (Adenocard). Rationale: 1. The ECG rhythm shows regular narrow complex tachycardia, likely supraventricular tachycardia (SVT). 2. Adenosine is the first-line medication for terminating SVT by blocking conduction through the AV node. 3. Adenosine is given rapidly as a bolus dose followed by a saline flush to ensure quick delivery to the heart. 4. Adenosine has a very short half-life, making it safe to use in this scenario. Summary: A: Magnesium is not the first-line treatment for SVT. B: Heparin is not indicated for the management of SVT. D: Synchronized cardioversion is reserved for unstable patients with hemodynamic compromise, not indicated for stable SVT.
Question 4 of 4
The client has received 250 ml of 0.9% normal saline through the IV line in the last hour. The client is now tachypneic and has a pulse rate of 120 beats/minute, with a pulse volume of +4. In addition to reporting the assessment findings to the healthcare provider, what action should the nurse implement?
Correct Answer: B
Rationale: The correct answer is B: Decrease the saline to a keep-open rate. The client is showing signs of fluid overload, indicated by tachypnea and bounding pulse. By decreasing the saline to a keep-open rate, the nurse can prevent further fluid overload while maintaining IV access. Discontinuing the IV and applying pressure (choice A) is not necessary unless there is a specific issue with the IV site. Increasing the rate of the current IV solution (choice C) would worsen the fluid overload. Changing the IV fluid to 0.45% normal saline (choice D) at the same rate may not effectively address the fluid overload concern.