ATI LPN
ATI LPN Med Surg Midterm Questions
Extract:
Question 1 of 5
A nurse is assisting with the care of a client who was admitted to the cardiac telemetry unit after he experienced chest pain, dyspnea and diaphoresis. Which of the following electrocardiogram (ECG) findings is a manifestation of acute myocardial infarction?
Correct Answer: A
Rationale: ST-segment elevation on an ECG indicates ischemia, a hallmark of acute myocardial infarction. Normal PR and QRS intervals or QT interval equality do not specifically indicate an MI.
Question 2 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 3 of 5
A nurse is reinforcing teaching with a client who has a new prescription for atorvastatin. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: Atorvastatin can cause myopathy, so clients should monitor for muscle pain. Grapefruit juice increases drug levels, potassium is unrelated, and timing is flexible but often evening.
Question 4 of 5
A nurse is caring for a client who has a prescription for diltiazem. The nurse measures the client's vital signs and notes that the client's apical heart rate is 49/min. The nurse should prepare to administer which of the following medications?
Correct Answer: A
Rationale: A heart rate of 49/min indicates bradycardia, and atropine is used to increase heart rate, unlike verapamil, digoxin, or carvedilol, which can lower it.
Question 5 of 5
A charge nurse is discussing evidence-based practice (EBP) with a newly licensed nurse. Which of the following information should the nurse include when discussing the hierarchy of evidence?
Correct Answer: D
Rationale: Level I evidence, including systematic reviews, meta-analyses, and randomized controlled trials, is the highest level of evidence for EBP. Qualitative studies, textbook evidence, and meta-analyses are not correctly categorized as described in the other options.