ATI LPN
ATI LPN Med Surg Level 3 Questions
Extract:
Question 1 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 2 of 5
A nurse is reinforcing teaching about warfarin with a client who has a new onset of atrial fibrillation. Which of the following statements should the nurse include in the teaching?
Correct Answer: A
Rationale: Warfarin reduces stroke risk in atrial fibrillation by preventing clot formation.
Question 3 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.
Question 4 of 5
A nurse is assisting with the care of a client in the emergency department and reports severe radiating chest pain and shortness of breath. The client appears restless, frightened, and slightly cyanotic. The provider prescribes oxygen by nasal cannula at 4 L/min stat, cardiac enzyme levels. IV fluids, and a 12-lead ECG. Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: The priority is to address the client's cyanosis and shortness of breath. Oxygen therapy improves oxygen delivery to tissues and should be the first intervention.
Question 5 of 5
A nurse is calculating a client's intake and output for an 8-hr shift. The client's intake included 1,000 mL 0.9% sodium chloride IV solution, one 6-oz cup of coffee, 6 oz of water, one 180-mL bowl of soup. 3 oz of flavored gelatin, and 3 oz of ice cream. How many mL should the nurse document as the client's total intake for the shift?
Correct Answer: 1720 mL
Rationale:
Total intake: 1,000 mL (IV) + 180 mL (coffee) + 180 mL (water) + 180 mL (soup) + 90 mL (gelatin) + 90 mL (ice cream) = 1,720 mL.