ATI LPN
ATI LPN Med Surg Level 3 II Questions
Extract:
Question 1 of 5
A 46-year-old African-American man is in an outpatient clinic for a physical examination. His BP is 126/84 mm Hg. his BMI is 24, and he reports no previous medical problems. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The client's BP (126/84 mm Hg) is elevated, and African-Americans have a higher hypertension risk. Educating on risk reduction (diet, exercise) is proactive and appropriate.
Question 2 of 5
A nurse is assisting with the care of a client following a left femoral cardiac angiography. The nurse should place a sandbag on the client over which of the following areas?
Correct Answer: A
Rationale: A sandbag over the left femoral artery site applies pressure to prevent bleeding or hematoma formation.
Question 3 of 5
A nurse in a provider's office is reinforcing teaching with a client who has risk factors for atherosclerosis. The nurse should help the client identify which of the following as treatment goals?
Correct Answer: B
Rationale: Maintaining blood pressure below 140/90 mm Hg is a realistic goal to reduce vascular damage in atherosclerosis. Cholesterol should be <200 mg/dL, fat intake should be 25-35% of calories, and BMI should be in the healthy range (18.5-24.9).
Question 4 of 5
A nurse is caring for a client who has hypertension and recently developed drooping facial features. When contacting the provider, which of the following statements should the nurse include as part of the background component of the SBAR communication tool?
Correct Answer: D
Rationale: The background component of SBAR provides relevant medical history. The client's history of hypertension is pertinent to the current situation and should be included in the background. The other options belong to different SBAR components: A (recommendation), B (assessment), and C (situation).
Question 5 of 5
A nurse is assisting with the care of a client 2 hr postoperative following a cardiac catheterization. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Checking distal pulses ensures adequate circulation and detects complications like arterial occlusion post-catheterization.