ATI LPN
ATI LPN Med Surg Level 3 II Questions
Extract:
Question 1 of 5
A nurse is assisting with the plan of care for a client immediately following a cardiac catheterization with coronary angiography. An arterial closure device was used to close the access site. Which of the following interventions should the nurse recommend?
Correct Answer: C
Rationale: Bed rest for 2 hours post-catheterization with an arterial closure device minimizes bleeding risk at the access site.
Question 2 of 5
A nurse is planning care for a group of clients on a medical-surgical unit. Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: Unilateral calf pain may indicate deep vein thrombosis (DVT), a potentially life-threatening condition requiring immediate assessment to prevent pulmonary embolism.
Question 3 of 5
A nurse is collecting data about a client's cardiac functioning. The nurse auscultates an S3 sound. Which of the following causes should the nurse suspect?
Correct Answer: B
Rationale: An S3 sound, a ventricular gallop, occurs in early diastole due to rapid ventricular filling, often indicating heart failure or fluid overload.
Question 4 of 5
While auscultating a client's heart sounds, the nurse hears turbulence between S1 and S2. The nurse should document this finding as which of the following?
Correct Answer: A
Rationale: Turbulence between S1 and S2 occurs during systole, indicating a systolic murmur, often due to valve issues like aortic stenosis.
Question 5 of 5
A nurse is caring for a client who has hypertension and recently developed drooping facial features. When contacting the provider, which of the following statements should the nurse include as part of the background component of the SBAR communication tool?
Correct Answer: D
Rationale: The background component of SBAR provides relevant medical history. The client's history of hypertension is pertinent to the current situation and should be included in the background. The other options belong to different SBAR components: A (recommendation), B (assessment), and C (situation).