ATI LPN
ATI LPN Med Surg Level 3 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has a prescription for digoxin 0.25 mg PO daily for heart failure. The client's current vital signs are: BP 144/96 mmHg, heart rate 54/min, respirations 18/min, and temperature 37°C (98.6°F). Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Digoxin should be withheld if the heart rate is below 60 bpm to avoid further slowing.
Question 2 of 5
A nurse is preparing to administer 0.9% sodium chloride 1 L IV to infuse over 8 hr. The drop factor of the manual IV tubing set is 15 gtts/mL. The nurse should set the manual IV infusion to deliver how many gtt/min? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 31 gtt/min
Rationale: Volume = 1,000 mL, time = 480 min, drop factor = 15 gtts/mL. Gtt/min = (1,000 ÷ 480) × 15 = 31.25, rounded to 31.
Question 3 of 5
A nurse caring for a client who has a new prescription for atenolol, a Beta Blocker. For which of the following adverse effects should the nurse monitor the client?
Correct Answer: C
Rationale: Bradycardia is a common adverse effect of beta-blockers like atenolol, as they slow the heart rate.
Question 4 of 5
A nurse is caring for an older adult client who has left-sided heart failure. Which of the following findings is a classic presentation of left-sided heart failure?
Correct Answer: A
Rationale: Frothy sputum is a classic symptom of pulmonary congestion caused by left-sided heart failure.
Question 5 of 5
A nurse is preparing to administer digoxin to a client who has heart failure. Before administering this medication, which of the following actions should the nurse take?
Correct Answer: C
Rationale: Measuring the apical pulse for one minute is essential; digoxin should be withheld if the heart rate is below 60 bpm.