ATI LPN
ATI LPN Level 3 Med Surg Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client scheduled for coronary artery bypass grafting who reports he is no longer certain he wants to have the procedure. Which of the following responses should the nurse make?
Correct Answer: D
Rationale: Bypass surgery must be very frightening for you. This response uses a therapeutic communication technique by acknowledging the client's emotions and opening the conversation for further exploration of their concerns.
Question 2 of 5
A nurse is collecting data from a client who has mitral stenosis. Which of the following findings is a manifestation of this condition?
Correct Answer: B
Rationale: Dyspnea on exertion is a classic symptom of mitral stenosis. The narrowing of the mitral valve restricts blood flow from the left atrium to the left ventricle, causing pulmonary congestion and shortness of breath, especially during physical activity.
Question 3 of 5
A nurse is measuring a client for knee-high antiembolic stockings to help prevent venous stasis. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Measure from the client's heel to the popliteal space. For knee-high stockings, measuring from the heel to the popliteal space (behind the knee) ensures the stockings fit properly without cutting off circulation or causing discomfort.
Question 4 of 5
A nurse is caring for a client who has thrombophlebitis and is receiving a continuous infusion of heparin. The client asks the nurse how long it will take for the heparin to dissolve the clot. Which of the following responses should the nurse make?
Correct Answer: B
Rationale: Heparin prevents new clots from forming rather than dissolving established clots. Heparin's role is to prevent new clots from forming, not to dissolve existing clots. The body's natural fibrinolytic system will eventually break down the clot.
Question 5 of 5
A nurse is caring for a client who is newly-admitted and has angina. The client asks the nurse, 'Why am I taking nitroglycerin?' Which of the following responses should the nurse make?
Correct Answer: A
Rationale: Nitroglycerin dilates cardiac blood vessels to deliver more oxygen to the heart. Nitroglycerin works by dilating the coronary arteries, increasing blood flow and oxygen delivery to the heart muscle, thereby reducing angina.