ATI LPN
ATI LPN Med Surg Level 3 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has hypertension and is to start taking atenolol. The nurse should instruct the client to monitor for which of the following findings as an adverse effect of this medication?
Correct Answer: D
Rationale: Atenolol, a beta-blocker, slows down the heart rate and can lead to bradycardia (a heart rate that is too slow), which is a common adverse effect to monitor for.
Question 2 of 5
A nurse is preparing to perform a 12-lead electrocardiogram (ECG). Which of the following instructions should the nurse provide to the client?
Correct Answer: C
Rationale: Movement during an ECG can interfere with the results by causing artifact, so it's important for the client to remain still while the test is being performed.
Question 3 of 5
A nurse is calculating a client's intake and output for an 8-hr shift. The client's intake included 1,000 mL 0.9% sodium chloride IV solution, one 6-oz cup of coffee, 6 oz of water, one 180-mL bowl of soup. 3 oz of flavored gelatin, and 3 oz of ice cream. How many mL should the nurse document as the client's total intake for the shift?
Correct Answer: 1720 mL
Rationale:
Total intake: 1,000 mL (IV) + 180 mL (coffee) + 180 mL (water) + 180 mL (soup) + 90 mL (gelatin) + 90 mL (ice cream) = 1,720 mL.
Question 4 of 5
A nurse is reviewing the laboratory values for a client who has heart failure and is taking bumetanide for diuresis. For which of the following results should the nurse notify the provider?
Correct Answer: A
Rationale: Potassium 2.3 mEq/L indicates severe hypokalemia, which can cause dangerous arrhythmias, especially in heart failure.
Question 5 of 5
A nurse in a clinic is reviewing teaching about food choices with a client who has recently begun taking warfarin. The nurse should instruct the client to limit consumption of which of the following foods?
Correct Answer: A
Rationale: Kale is high in vitamin K, which can counteract the effects of warfarin, reducing its effectiveness.