ATI LPN
ATI LPN Med Surg Level 3 Questions
Extract:
Question 1 of 5
A nurse in a provider's office is collecting data from a client who reports dyspnea and fatigue. The nurse determines that the client also has tachycardia and edema. Which of the following disorders should the nurse suspect?
Correct Answer: D
Rationale: Heart failure is characterized by dyspnea, fatigue, tachycardia, and edema due to the heart's inability to pump effectively.
Question 2 of 5
A nurse in a clinic is reviewing teaching about food choices with a client who has recently begun taking warfarin. The nurse should instruct the client to limit consumption of which of the following foods?
Correct Answer: A
Rationale: Kale is high in vitamin K, which can counteract the effects of warfarin, reducing its effectiveness.
Question 3 of 5
A nurse in a provider's office is collecting data from a client who reports dyspnea and fatigue. The nurse determines that the client also has tachycardia and edema. Which of the following disorders should the nurse suspect?
Correct Answer: D
Rationale: Heart failure is characterized by dyspnea, fatigue, tachycardia, and edema due to the heart's inability to pump effectively.
Question 4 of 5
A nurse is assisting with collecting data on a client who is on a continuous ECG monitor. The client's ECG tracing shows no identifiable P waves and an irregular ventricular rate. The nurse should recognize the client is experiencing which of the following cardiac dysrhythmias?
Correct Answer: C
Rationale: In atrial fibrillation, P waves are absent, and the ventricular rhythm is irregular. This matches the ECG description given in the question.
Question 5 of 5
A nurse is preparing to administer digoxin to a client who has heart failure. Before administering this medication, which of the following actions should the nurse take?
Correct Answer: C
Rationale: Measuring the apical pulse for one minute is essential; digoxin should be withheld if the heart rate is below 60 bpm.