ATI LPN
ATI LPN Med Surg Midterm Questions
Extract:
Question 1 of 5
A nurse is administering an IV antihypertensive to a client who has a BP of 185/130 mm Hg. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Monitoring the client's blood pressure every 5 minutes is critical when administering an IV antihypertensive to assess the medication's effectiveness and ensure safety, given the client's high BP. Other actions are important but not the immediate priority.
Question 2 of 5
A nurse is assisting with preoperative teaching for a client. Which of the following outcomes should the nurse expect?
Correct Answer: B
Rationale: Preoperative teaching reduces postoperative anxiety by preparing the client for what to expect, improving recovery outcomes. It does not increase pain, reduce respiratory function, or extend hospital stays.
Question 3 of 5
A nurse is assisting with teaching a class about documenting blood pressure. The nurse should include to document which of the following information? (Select All that Apply)
Correct Answer: A,B,C,D,E
Rationale: Documenting response to interventions (
A), frequency (
B), interventions (
C), site (
D), and position (E) ensures comprehensive blood pressure records.
Question 4 of 5
A nurse is assisting with the care of a client who has respiratory alkalosis and is hyperventilating. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Breathing into a paper bag increases carbon dioxide levels, helping reverse respiratory alkalosis caused by hyperventilation.
Question 5 of 5
A nurse is providing change-of-shift report to another nurse for a client using the Introduction, Situation, Background, Assessment and Recommendation (ISBARR) communication tool, which of the following information should the nurse include as part of the situation component of this communication tool?
Correct Answer: C
Rationale: The situation component of ISBARR includes the client's current medical condition or reason for admission, providing context for the report.