ATI LPN
ATI LPN Med Surg Level 3 II Questions
Extract:
Question 1 of 5
A nurse is collecting data from a client who has anemia due to excess blood loss during surgery causing a decrease in blood flow/perfusion in the patient. The patient's vital signs are as follows: BP 100/60. HR 122. Resp 24, SPO2 92%. The nurse should expect which of the following findings/symptoms?
Correct Answer: A
Rationale: Anemia reduces oxygen-carrying capacity, causing tachycardia, increased respirations, and dyspnea on exertion as compensatory mechanisms.
Question 2 of 5
A 46-year-old African-American man is in an outpatient clinic for a physical examination. His BP is 126/84 mm Hg. his BMI is 24, and he reports no previous medical problems. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The client's BP (126/84 mm Hg) is elevated, and African-Americans have a higher hypertension risk. Educating on risk reduction (diet, exercise) is proactive and appropriate.
Question 3 of 5
A nurse is giving a presentation to a community group about preventing atherosclerosis. Which of the following should the nurse include as a modifiable risk factor for this disorder? (Select all that apply.)
Correct Answer: A,B,D,E
Rationale: Smoking, obesity, hypertension, and hypercholesterolemia can be modified through lifestyle changes or medication, reducing atherosclerosis risk. Genetic predisposition is non-modifiable.
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
A nurse is caring for a client who asks why she is being prescribed aspirin 325 mg daily following a myocardial infarction. The nurse should instruct the client that aspirin is prescribed for clients who have coronary artery disease for which of the following effects?
Correct Answer: B
Rationale: Aspirin inhibits platelet aggregation, preventing blood clots and reducing the risk of further cardiac events post-myocardial infarction.