ATI LPN
ATI LPN Med Surg Midterm Questions
Extract:
Question 1 of 5
A nurse is assisting with the admission of a client to an acute mental health unit following a suicide attempt. The client has a history of depression, substance abuse, and anorexia nervosa. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: Initiating one-to-one observation ensures immediate safety after a suicide attempt, the highest priority.
Question 2 of 5
A newly hired nurse asks a charge nurse what safety measures are in place to prevent diversion of controlled substances on the unit. Which of the following statements should the charge nurse make? (Select All that Apply)
Correct Answer: B,C,D
Rationale: Using automated dispensing devices (
B), periodic reviews (
C), and counting substances (
D) prevent diversion. Pocketing refused medication is unsafe, but witnessing disposal is correct.
Question 3 of 5
A nurse is reinforcing teaching with a client who has a new prescription for nifedipine. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: Nifedipine can cause peripheral edema, so clients should monitor for ankle swelling.
Question 4 of 5
A nurse is collecting data from a client who is receiving a continuous IV infusion of dopamine. Which of the following findings should the nurse report to the provider?
Correct Answer: A
Rationale: A blood pressure of 180/100 mm Hg indicates hypertension, a potential adverse effect of dopamine, and should be reported.
Question 5 of 5
A nurse is collecting data from a client who is receiving continuous cardiac monitoring that is indicating premature ventricular contractions (PVCs). Which of the following findings should the nurse expect when assessing the client?
Correct Answer: B
Rationale: PVCs cause irregular pulsations due to premature ventricular contractions disrupting normal heart rhythm.