ATI LPN
ATI LPN Med Surg Level 3 II Questions
Extract:
Question 1 of 5
A nurse is checking the apical pulse of a client who is taking several cardiovascular medications. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Counting the apical pulse for a full minute ensures accuracy, especially with cardiovascular medications that may alter heart rate or rhythm.
Question 2 of 5
A nurse is preparing to administer morning insulin to a client who has a prescription for 14 units of regular insulin and 28 units of NPH insulin subcutaneous daily. What is the total number of units of insulin that the nurse should prepare in the insulin syringe?
Correct Answer: A
Rationale: Adding 14 units (regular) and 28 units (NPH) gives a total of 42 units, which can be combined in one syringe.
Question 3 of 5
A nurse is reinforcing teaching with a client who is about to start taking captopril to treat hypertension. Which of the following instructions should the nurse include to help the client manage this medication's adverse effects?
Correct Answer: D
Rationale: Captopril is best absorbed on an empty stomach, 1 hour before meals, to maximize efficacy and reduce adverse effects.
Question 4 of 5
A nurse is collecting data about a client's circulatory system. Which of the following pulse sites should the nurse avoid checking bilaterally at the same time?
Correct Answer: D
Rationale: Checking carotid pulses bilaterally simultaneously can reduce cerebral blood flow, risking syncope. One side should be palpated at a time.
Question 5 of 5
While auscultating a client's heart sounds, the nurse hears turbulence between S1 and S2. The nurse should document this finding as which of the following?
Correct Answer: A
Rationale: Turbulence between S1 and S2 occurs during systole, indicating a systolic murmur, often due to valve issues like aortic stenosis.