ATI LPN
ATI LPN Med Surg Midterm Questions
Extract:
Question 1 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 2 of 5
A nurse is assisting with the admission of a client to an acute mental health unit following a suicide attempt. The client has a history of depression, substance abuse, and anorexia nervosa. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: Initiating one-to-one observation ensures immediate safety after a suicide attempt, the highest priority.
Question 3 of 5
A nurse is reinforcing preoperative teaching to a client who is undergoing total hip replacement surgery. Which of the following statements should the nurse include in the teaching?
Correct Answer: D
Rationale: Using special antiseptic soap before surgery reduces infection risk, a key preoperative instruction.
Question 4 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 5 of 5
A nurse is assisting with the care of a client who was admitted to the cardiac telemetry unit after he experienced chest pain, dyspnea and diaphoresis. Which of the following electrocardiogram (ECG) findings is a manifestation of acute myocardial infarction?
Correct Answer: A
Rationale: ST-segment elevation on an ECG indicates ischemia, a hallmark of acute myocardial infarction. Normal PR and QRS intervals or QT interval equality do not specifically indicate an MI.