ATI LPN
ATI LPN Med Surg Midterm Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has a prescription for metoprolol. The nurse measures the client's vital signs and notes that the client's apical heart rate is 49/min. The nurse should prepare to administer which of the following medications?
Correct Answer: B
Rationale: A heart rate of 49/min indicates bradycardia. Atropine is used to increase heart rate by blocking vagal activity. Diltiazem, digoxin, and carvedilol can further lower heart rate and are inappropriate.
Question 2 of 5
A nurse is caring for a client who has been taking warfarin and has an international normalized ratio (INR) time of 5. Which of the following medications should the nurse anticipate the provider to prescribe?
Correct Answer: D
Rationale: An INR of 5 indicates excessive anticoagulation. Vitamin K reverses warfarin's effects, lowering INR. Ferrous sulfate, heparin, and prednisone are not appropriate for this purpose.
Question 3 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 4 of 5
A nurse is administering an IV antihypertensive to a client who has a BP of 185/130 mm Hg. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Monitoring the client's blood pressure every 5 minutes is critical when administering an IV antihypertensive to assess the medication's effectiveness and ensure safety, given the client's high BP. Other actions are important but not the immediate priority.
Question 5 of 5
A nurse is reinforcing teaching with a client who has a new prescription for warfarin. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: Ibuprofen can increase bleeding risk with warfarin and should be avoided. Green leafy vegetables affect warfarin's efficacy, razors increase bleeding risk, and citrus fruits are not contraindicated.