ATI LPN
ATI LPN Med Surg Midterm Questions
Extract:
Question 1 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 2 of 5
A nurse is reinforcing teaching with a client who has a new prescription for warfarin. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: Ibuprofen can increase bleeding risk with warfarin and should be avoided. Green leafy vegetables affect warfarin's efficacy, razors increase bleeding risk, and citrus fruits are not contraindicated.
Question 3 of 5
A nurse is assisting with teaching a class on ethical principles. The nurse should include that protecting a client's safety by not causing harm refers to which of the following ethical principles?
Correct Answer: C
Rationale: Non-maleficence is the ethical principle of avoiding harm, prioritizing client safety.
Question 4 of 5
A nurse is caring for a client who is at the end of life and is unresponsive. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Talking to an unresponsive client provides comfort and reassurance, as hearing may persist. Limiting visitors, avoiding touch, or whispering is not recommended.
Question 5 of 5
A nurse is assisting with the care of a client who is receiving a continuous IV infusion of furosemide. Which of the following findings should the nurse monitor?
Correct Answer: B
Rationale: Furosemide can cause hypokalemia, so serum potassium levels should be monitored to prevent complications like dysrhythmias.