ATI LPN
ATI LPN Med Surg Level 3 II 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 chart listed a past medical history of hypertension, tachycardia, and hypercholesteremia. The patient is on two blood pressure medications and a cholesterol medication. The nurse's assessment finding include tachycardia and edema. The patient reports not taking their medications on a regular basis. Which of the following disorders should the nurse suspect?
Correct Answer: D
Rationale: Dyspnea, fatigue, tachycardia, edema, and medication noncompliance in a client with hypertension and hypercholesteremia strongly suggest heart failure.
Question 2 of 5
While auscultating a client's heart sounds, the nurse hears turbulence between S1 and S2. The nurse should document this finding as which of the following?
Correct Answer: A
Rationale: Turbulence between S1 and S2 occurs during systole, indicating a systolic murmur, often due to valve issues like aortic stenosis.
Question 3 of 5
A nurse is collecting data on a client who is postoperative following abdominal surgery. Which of the following data should the nurse collect first?
Correct Answer: C
Rationale: Pain assessment is the priority post-surgery as it can indicate complications (e.g., bleeding) and affects recovery. Unmanaged pain can delay healing.
Question 4 of 5
The nurse notes the patient's lower legs are brown and discolored and their feet are cold and slightly blue in color when in the dependent position. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Discoloration and cold, blue feet suggest poor circulation. Checking pulses assesses arterial flow and guides further intervention.
Question 5 of 5
A nurse is caring for a client who has hypertension and is to start taking atenolol (a betablocker) which also reduces the workload of the heart. The nurse should instruct the client to monitor for which of the following findings as an adverse effect of this medication?
Correct Answer: A
Rationale: Atenolol can cause bradycardia by slowing the heart rate, a key adverse effect to monitor.