ATI LPN
ATI LPN Med Surg Level 3 II Questions
Extract:
Question 1 of 5
A nurse is collecting data about a client's cardiac functioning. The nurse auscultates an S3 sound. Which of the following causes should the nurse suspect?
Correct Answer: B
Rationale: An S3 sound, a ventricular gallop, occurs in early diastole due to rapid ventricular filling, often indicating heart failure or fluid overload.
Question 2 of 5
A nurse is monitoring a client's peripheral circulation. Identify where the nurse should palpate to check the posterior tibial pulse.
Correct Answer: A
Rationale: The posterior tibial pulse is palpated behind the medial malleolus, where the posterior tibial artery is located, to assess lower extremity circulation.
Question 3 of 5
A nurse is reinforcing teaching with a client about following a low-cholesterol diet after coronary artery bypass grafting. Which of the following food choices reflects the client's understanding of these dietary instructions?
Correct Answer: B
Rationale: Beans are low in cholesterol and high in fiber, making them ideal for a low-cholesterol diet post-CABG.
Question 4 of 5
A nurse is reinforcing teaching with an older adult client who has been newly diagnosed with a heart murmur. Which of the following statements should the nurse make?
Correct Answer: D
Rationale: A heart murmur results from turbulent blood flow, often due to valve stenosis or regurgitation, making this the accurate explanation.
Question 5 of 5
A nurse is caring for a client who has hypertension and recently developed drooping facial features. When contacting the provider, which of the following statements should the nurse include as part of the background component of the SBAR communication tool?
Correct Answer: D
Rationale: The background component of SBAR provides relevant medical history. The client's history of hypertension is pertinent to the current situation and should be included in the background. The other options belong to different SBAR components: A (recommendation), B (assessment), and C (situation).