ATI LPN
ATI LPN Med Surg Cardiac Exam Questions
Extract:
Question 1 of 5
A nurse is assisting with the care of a client who was admitted to the telemetry unit after he experienced chest pain, dyspnea and diaphoresis. Which of the following ECG findings is a manifestation of acute myocardial infarction?
Correct Answer: A
Rationale: An elevated ST segment indicates myocardial injury, a hallmark of acute myocardial infarction, distinguishing it from normal ECG findings.
Question 2 of 5
A nurse is preparing to administer potassium chloride 20 mEq. The amount available is potassium chloride liquid 40 mEq/15 mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 7.5
Rationale:
To calculate: (20 mEq / 40 mEq) × 15 mL = 7.5 mL, which is the correct dose to administer.
Question 3 of 5
A nurse is reviewing laboratory data from a client who has pulmonary embolism and is receiving IV heparin. Which of the following findings should the nurse report to the provider?
Correct Answer: D
Rationale: A low platelet count (74,000/mm³) may indicate heparin-induced thrombocytopenia, a serious complication of heparin therapy that requires immediate reporting.
Question 4 of 5
A nurse is collecting data from a client who has hypertension and a prescription for propranolol. A history of which of the following conditions should be reported to the provider?
Correct Answer: D
Rationale: Propranolol can worsen heart failure by reducing myocardial contractility, making it a critical condition to report for clients prescribed this medication.
Question 5 of 5
A nurse is reinforcing teaching with a client who has peripheral vascular disease (PVD). The nurse should recognize that which of the following statements by the client indicates a need for further teaching?
Correct Answer: D
Rationale: Stockings with tight elastic tops can restrict blood flow, worsening symptoms in PVD. The client's statement indicates a misunderstanding, as these should be avoided.