ATI LPN
ATI LPN Med Surg Midterm Questions
Extract:
Question 1 of 5
A nurse is assisting with the care of a client who has a new prescription for propranolol. Which of the following findings should the nurse monitor?
Correct Answer: B
Rationale: Propranolol, a beta-blocker, can lower heart rate, so it should be monitored to prevent bradycardia.
Question 2 of 5
A nurse is collecting data from a client prior to administering pyridostigmine to treat myasthenia gravis. Which of the following information is most important for the nurse to obtain?
Correct Answer: A
Rationale: Recent oral intake is critical for pyridostigmine to optimize absorption and minimize gastrointestinal side effects. Other issues are less immediate but should be monitored.
Question 3 of 5
A nurse is reviewing the arterial blood gas (ABG) results of a client. The client's ABGs are: PH: 7.6, PaCO2: 40 mm Hg, HCO3,: 32 mEq/L. Which of the following acid base conditions should the nurse identify the client is experiencing?
Correct Answer: D
Rationale: A high pH (7.6) and high bicarbonate (32 mEq/L) indicate metabolic alkalosis, with normal PaCO2 ruling out respiratory causes.
Question 4 of 5
A nurse is caring for a client who has respiratory acidosis. Which of the following pH levels should the nurse expect?
Correct Answer: C
Rationale: A pH of 7.31 indicates acidemia, consistent with respiratory acidosis due to carbon dioxide retention.
Question 5 of 5
A nurse is caring for a client who has acute kidney injury. The client's ABGS are: PH:7.26, PaCO2: 30 mm Hg, HCO3: 14 mEq/L. Which of the following acid-imbalances should the nurse identify the client is experiencing?
Correct Answer: D
Rationale: A pH of 7.26 and low bicarbonate (14 mEq/L) indicate metabolic acidosis, common in acute kidney injury due to impaired acid excretion.