ATI LPN
ATI LPN Med Surg Midterm Questions
Extract:
Question 1 of 5
A nurse is assisting with the care of a client who is postoperative following a mitral valve replacement. Which of the following findings should the nurse report to the provider?
Correct Answer: C
Rationale: Incision site erythema may indicate infection, a serious complication post-valve replacement, and should be reported.
Question 2 of 5
A nurse is assisting in the plan of care for a client who has a suspected myocardial infarction. Which of the following medication should the nurse plan to administer first?
Correct Answer: B
Rationale: Aspirin is administered first for suspected myocardial infarction to inhibit platelet aggregation and reduce clot formation, minimizing heart damage.
Question 3 of 5
A nurse on a medical-surgical unit is caring for a group of children. Which of the following findings should alert the nurse that one of the children is a potential victim of abuse?
Correct Answer: A
Rationale: An adolescent wanting to stay in the hospital may indicate an unsafe home environment, suggesting possible abuse. Bruises on a toddler's shins, crying during injections, and obesity are not typically abuse indicators.
Question 4 of 5
A nurse is assisting with the care of a client who has respiratory alkalosis and is hyperventilating. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Breathing into a paper bag increases carbon dioxide levels, helping reverse respiratory alkalosis caused by hyperventilation.
Question 5 of 5
A nurse is delegating tasks for an assistive personnel (AP) to perform for a client who is 1-day postoperative following cardiac surgery. Which of the following tasks should the nurse perform herself?
Correct Answer: D
Rationale: Removing the sternal dressing requires a nurse's expertise to assess the surgical site for complications, which is beyond an AP's scope. Shower assistance, ambulation, and vital sign measurement can be delegated.