ATI LPN
ATI LPN Med Surg Exam 4 Questions
Extract:
Question 1 of 5
A nurse administered nitroglycerin sublingually to a client who has angina pectoris and experienced chest pain. The client states that his chest pain is relieved but now he has a headache. Which of the following responses by the nurse is appropriate?
Correct Answer: C
Rationale: Nitroglycerin commonly causes headaches due to vasodilation, which usually lessens over time as thekkal.
Question 2 of 5
A nurse is reinforcing teaching to a group of clients about risk factors for pericarditis. Which of the following should the nurse include in the teaching?
Correct Answer: B
Rationale: A recent flu-like illness can increase the risk of viral infections, which are common causes of pericarditis.
Question 3 of 5
A nurse is caring for a client who is scheduled for a Tensilon challenge test to check for myasthenia gravis. Which of the following findings should the nurse identify as a positive result?
Correct Answer: A
Rationale: A positive result in a Tensilon test is indicated by temporary improvement in muscle strength, confirming myasthenia gravis.
Question 4 of 5
A nurse in a clinic is reinforcing teaching with a group of clients about preventing low back pain and injury. Which of the following statements should the nurse identify as an indication that the client requires further clarification?
Correct Answer: C
Rationale: Sitting with knees lower than hips can lead to poor posture and increased strain on the lower back, requiring further clarification.
Question 5 of 5
A nurse is caring for a client who has a spinal cord injury at T-4. The nurse should recognize that the client is at risk for autonomic dysreflexia. Which of the following interventions should the nurse take to prevent autonomic dysreflexia?
Correct Answer: A
Rationale: Preventing bladder distention by ensuring regular bladder emptying can help prevent autonomic dysreflexia, which is often triggered by noxious stimuli like bladder distention.