ATI LPN
ATI LPN Med Surg Exam 7 Questions
Extract:
Question 1 of 5
A nurse is checking for paradoxical blood pressure on a client who has constrictive pericarditis. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: Pulsus paradoxus, a drop in systolic BP >10 mm Hg on inspiration, is characteristic of constrictive pericarditis due to impaired heart filling.
Question 2 of 5
A nurse is contributing to the plan of care for a client who has labyrinthitis. Which of the following interventions should the nurse include in the plan?
Correct Answer: B
Rationale: Monitoring cardinal fields of vision assesses nystagmus in labyrinthitis, aiding in evaluating vestibular dysfunction and guiding care.
Question 3 of 5
A nurse is caring for a client who has recurrent kidney stones and a history of diabetes mellitus. The client is scheduled for an intravenous pyelogram (IVP). The nurse should collect additional data about which of the following statements made by the client?
Correct Answer: B
Rationale: Metformin use before IVP increases lactic acidosis risk, requiring temporary discontinuation and further diabetes management data.
Question 4 of 5
A nurse is checking for paradoxical blood pressure on a client who has constrictive pericarditis. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: Pulsus paradoxus, a drop in systolic BP >10 mm Hg on inspiration, indicates constrictive pericarditis due to restricted heart filling.
Question 5 of 5
A nurse is contributing to the plan of care for a client who has labyrinthitis. Which of the following interventions should the nurse include in the plan?
Correct Answer: B
Rationale: Monitoring cardinal fields of vision detects nystagmus, a key symptom of labyrinthitis, assisting in vestibular assessment and care planning.