ATI LPN
ATI LPN Level 3 Med Surg Exam 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: B
Rationale: Count the apical pulsations for a full minute. Counting for a full minute is the correct method for assessing an apical pulse, particularly in clients on cardiovascular medications, to ensure accurate detection of any irregularities.
Question 2 of 5
A nurse is reviewing the laboratory findings of a client who experienced an acute myocardial infarction 6 days ago. Which of the following laboratory values should the nurse expect to remain elevated at this time?
Correct Answer: A
Rationale: Troponin T remains elevated for 10 to 14 days after a myocardial infarction. This protein is highly specific for cardiac muscle injury and is used to confirm myocardial infarction.
Question 3 of 5
A nurse is reviewing the prescriptions for a newly admitted client who is to undergo cardiac testing. For which of the following procedures should the nurse verify that the client has given written informed consent?
Correct Answer: A
Rationale: Exercise ECG stress test requires informed consent because it involves physical activity that may place stress on the heart and carries certain risks, such as inducing arrhythmias or other complications.
Question 4 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 5 of 5
A nurse is collecting data from a client who has mitral stenosis. Which of the following findings is a manifestation of this condition?
Correct Answer: B
Rationale: Dyspnea on exertion is a classic symptom of mitral stenosis. The narrowing of the mitral valve restricts blood flow from the left atrium to the left ventricle, causing pulmonary congestion and shortness of breath, especially during physical activity.