ATI LPN
ATI LPN Level 3 Med Surg Exam Questions
Extract:
Question 1 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.
Question 2 of 5
A nurse is reinforcing teaching about the prevention of deep vein thrombosis (DVT) with a group of newly licensed nurses. Which of the following interventions should the nurse include in the teaching?
Correct Answer: B
Rationale: Place sequential compression devices bilaterally. Sequential compression devices (SCDs) help promote venous return and prevent venous stasis, thereby reducing the risk of DVT.
Question 3 of 5
A nurse is caring for a client who is postoperative following a total knee replacement. Which of the following actions should the nurse implement to prevent deep vein thrombophlebitis?
Correct Answer: B
Rationale: Encourage increased fluid intake. Encouraging fluid intake helps to prevent dehydration, which is a risk factor for blood clot formation. Adequate hydration helps keep the blood less viscous and reduces the risk of DVT.
Question 4 of 5
A nurse is caring for a client who reports an area of redness, warmth, tenderness and pain in the right calf. Which of the following actions should the nurse anticipate when notifying the provider of this finding?
Correct Answer: C
Rationale: Arrange for a venous duplex ultrasound. A venous duplex ultrasound is the standard diagnostic test used to confirm DVT. It visualizes the veins and assesses blood flow, helping to detect the presence of a clot.
Question 5 of 5
A nurse is assisting with the care of a client in the emergency department and reports severe radiating chest pain and shortness of breath. The client appears restless, frightened, and slightly cyanotic. The provider prescribes oxygen by nasal cannula at 4 L/min stat, cardiac enzyme levels. IV fluids, and an ECG/EKG. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: Initiate oxygen therapy. The client shows signs of hypoxia (shortness of breath and cyanosis), and oxygen is crucial for stabilizing oxygen levels and preventing further deterioration of cardiac and respiratory function.