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 deep vein thrombosis (DVT) and is receiving warfarin. Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: An INR of 5.2 indicates excessive anticoagulation, increasing bleeding risk, and should be reported. Other findings are within normal limits.
Question 2 of 5
A nurse is caring for a client who is at the end of life and is unresponsive. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Talking to an unresponsive client provides comfort and reassurance, as hearing may persist. Limiting visitors, avoiding touch, or whispering is not recommended.
Question 3 of 5
A nurse is planning to use research and scientific data to improve client care. Which of the following processes is the nurse planning to use?
Correct Answer: B
Rationale: Evidence-based practice uses research and scientific data to guide clinical decisions and improve care.
Question 4 of 5
A nurse is caring for a client who has acute kidney injury. The client's ABGS are: PH:7.26, PaCO2: 30 mm Hg, HCO3: 14 mEq/L. Which of the following acid-imbalances should the nurse identify the client is experiencing?
Correct Answer: D
Rationale: A pH of 7.26 and low bicarbonate (14 mEq/L) indicate metabolic acidosis, common in acute kidney injury due to impaired acid excretion.
Question 5 of 5
A nurse is collecting data from a client who is at the end of life. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Irregular respirations, such as Cheyne-Stokes respirations, are common at the end of life due to the body's declining ability to regulate breathing. Moist mucous membranes, tachycardia, and hypertension are not typical as the body shuts down.