ATI LPN
ATI LPN Med Surg Level 3 Questions
Extract:
Question 1 of 5
A home health nurse is collecting data from a patient who has heart failure and notes the patient has had a weight gain of 1.8 kg, as well as generalized edema, since the last visit 3 days ago. Which of the following actions is a priority for the nurse to take?
Correct Answer: C
Rationale: Ensuring diuretic compliance is the priority to address fluid retention indicated by weight gain and edema.
Question 2 of 5
A nurse is assisting with the care of a client who was admitted to the telemetry unit after he experienced chest pain, dyspnea and diaphoresis. Which of the following ECG findings is a manifestation of acute myocardial infarction?
Correct Answer: B
Rationale: ST-segment elevation is a hallmark finding of an acute myocardial infarction (STEMI), indicating myocardial injury.
Question 3 of 5
A nurse is reinforcing teaching with a client who is scheduled to have a permanent pacemaker implanted. Which of the following statements should the nurse include in the teaching?
Correct Answer: A
Rationale: Limiting arm movement prevents dislodgement of pacemaker leads.
Question 4 of 5
A nurse is reinforcing teaching about warfarin with a client who has a new onset of atrial fibrillation. Which of the following statements should the nurse include in the teaching?
Correct Answer: A
Rationale: Warfarin reduces stroke risk in atrial fibrillation by preventing clot formation.
Question 5 of 5
A home health nurse is collecting data from a patient who has heart failure and notes the patient has had a weight gain of 1.8 kg, as well as generalized edema, since the last visit 3 days ago. Which of the following actions is a priority for the nurse to take?
Correct Answer: C
Rationale: Ensuring diuretic compliance is the priority to address fluid retention indicated by weight gain and edema.