ATI LPN
ATI LPN Med Surg Level 3 Questions
Extract:
Question 1 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 2 of 5
A nurse is collecting data from a client who has right-sided heart failure. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: Peripheral edema is a classic symptom of right-sided heart failure due to systemic venous congestion.
Question 3 of 5
A nurse is collecting data from a client who has heart failure, prior to the administration of furosemide (Lasix). For which of the following findings should the nurse withhold the medication?
Correct Answer: D
Rationale: Furosemide is a potent diuretic that can further lower blood pressure. A blood pressure of 80/40 mm Hg is hypotensive, and administering furosemide could exacerbate this.
Question 4 of 5
A nurse is reviewing the laboratory values for a client who has heart failure and is taking bumetanide for diuresis. For which of the following results should the nurse notify the provider?
Correct Answer: A
Rationale: Potassium 2.3 mEq/L indicates severe hypokalemia, which can cause dangerous arrhythmias, especially in heart failure.
Question 5 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.