ATI LPN
ATI LPN Med Surg Level 3 II Questions
Extract:
Question 1 of 5
A nurse is administering nicardipine to a client who has a BP of 180/120 mm Hg. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: In a hypertensive crisis, frequent BP monitoring (every 5 minutes) is critical to assess nicardipine's effectiveness and prevent overly rapid BP reduction.
Question 2 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 3 of 5
A nurse is reinforcing instructions with a client who is scheduled for a cardiac catheterization with angiography. Which of the following statements should the nurse include in the instructions?
Correct Answer: D
Rationale: Bed rest for 4-6 hours post-catheterization prevents bleeding at the insertion site, making this a correct instruction.
Question 4 of 5
A nurse is reinforcing teaching about a heart healthy diet with a group of clients who have hypertension. Which of the following statements by the clients indicates a need for further teaching?
Correct Answer: B
Rationale: Cola drinks contain caffeine and sodium, which can raise blood pressure. Limiting these is crucial for hypertension management.
Question 5 of 5
A nurse is reinforcing teaching with a client who has a family history of hypertension. The nurse should inform the client that his blood pressure reading of 124/74 mm Hg places him in which of the following categories or stages?
Correct Answer: B
Rationale: A systolic BP of 120-129 mm Hg and diastolic <80 mm Hg is classified as elevated or prehypertension.