ATI LPN
ATI LPN Med Surg Midterm Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is scheduled for surgical repair of a femur fracture and has a prescription for lorazepam preoperatively. Which of the following statements made by the client should indicate to the nurse that the medication has been effective?
Correct Answer: C
Rationale: Feeling sleepy indicates lorazepam's effectiveness in reducing preoperative anxiety. Dry mouth, numbness, and decreased appetite are not direct indicators.
Question 2 of 5
A nurse is assisting with a preoperative teaching plan for a client. Which of the following actions should the nurse include in the plan?
Correct Answer: A,B
Rationale: Educational materials at an eighth-grade reading level ensure accessibility, and privacy fosters open communication. Starting with less important information or dimming lights is not recommended.
Question 3 of 5
A nurse is preparing to administer aspirin 650 mg PO. Available is aspirin 325 mg tablets. How many tablets should the nurse administer? (Round to the nearest whole number. Use a leading zero if it applies. (Do not use a trailing zero.)
Correct Answer: B
Rationale:
To administer 650 mg using 325 mg tablets, divide 650 by 325, which equals 2 tablets.
Question 4 of 5
A nurse is assisting with the care of a client who is receiving heparin via continuous IV infusion. Which of the following laboratory values should the nurse monitor?
Correct Answer: B
Rationale: Heparin's anticoagulant effect is monitored using aPTT to ensure therapeutic levels and prevent bleeding. PT and INR are used for warfarin, and platelet count is monitored for heparin-induced thrombocytopenia.
Question 5 of 5
A nurse is reviewing the medical record of a client who has metabolic acidosis. The nurse should realize that which of the following findings contributes to the development of metabolic acidosis?
Correct Answer: D
Rationale: Salicylate intoxication causes metabolic acidosis by increasing acid levels in the blood. Vomiting causes alkalosis, hyperventilation causes respiratory alkalosis, and diarrhea (likely meant as diarrhea) can cause acidosis but is less specific here.