ATI LPN
ATI LPN Level 3 Med Surg Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a patient who has a suspected myocardial infarction. Which of the following should the nurse administer first?
Correct Answer: D
Rationale: Oxygen should be administered first in a suspected myocardial infarction to ensure the heart and tissues receive adequate oxygen, especially if the patient is hypoxic.
Question 2 of 5
A nurse is caring for a client who is postoperative following vascular surgery. Which of the following manifestations should indicate to the nurse that the client has developed a thrombus?
Correct Answer: C
Rationale: Dull, aching calf pain is a key symptom of deep vein thrombosis (DVT) and should prompt further investigation.
Question 3 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 4 of 5
A nurse is measuring a client for knee-high antiembolic stockings to help prevent venous stasis. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Measure from the client's heel to the popliteal space. For knee-high stockings, measuring from the heel to the popliteal space (behind the knee) ensures the stockings fit properly without cutting off circulation or causing discomfort.
Question 5 of 5
A nurse is assisting with the care of a client who has infective endocarditis. Which of the following manifestations should the nurse identify as a complication of this disorder?
Correct Answer: A
Rationale: Emboli can form as vegetations break off from the heart valves and travel to other parts of the body, causing complications such as stroke, pulmonary embolism, or organ infarction.