ATI LPN
ATI LPN Med Surg Midterm Questions
Extract:
Question 1 of 5
A nurse is collecting data from a client who has a history of hypertension and is receiving diltiazem. Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: A heart rate of 50/min indicates bradycardia, a potential adverse effect of diltiazem, and should be reported.
Question 2 of 5
A nurse is assisting with the care of a client who is postoperative following a coronary artery bypass graft (CABG). Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: Incision site erythema may indicate infection, a serious postoperative complication requiring prompt reporting. Other findings are within normal limits.
Question 3 of 5
A nurse has completed the planning step of the nursing process for a client who has an acid-base imbalance. Which of the following steps should the nurse take next?
Correct Answer: B
Rationale: After planning, the nurse implements the planned interventions to address the client's acid-base imbalance.
Question 4 of 5
A nurse is reviewing the laboratory results of a client who is taking furosemide and notes the client's potassium level is 3.0 mEq/L. Which of the following physiological responses should the nurse expect related to the client's hypokalemia?
Correct Answer: C
Rationale: Hypokalemia can disrupt the heart's electrical activity, leading to cardiac dysrhythmias. Hypoglycemia, hyperreflexia, and increased appetite are not typically associated with low potassium levels.
Question 5 of 5
A nurse is providing change-of-shift report to another nurse for a client using the Introduction, Situation, Background, Assessment and Recommendation (ISBARR) communication tool, which of the following information should the nurse include as part of the situation component of this communication tool?
Correct Answer: C
Rationale: The situation component of ISBARR includes the client's current medical condition or reason for admission, providing context for the report.