ATI LPN
ATI LPN Med Surg Level 3 Questions
Extract:
Question 1 of 5
A nurse is collecting data from a client who has atrial fibrillation. When documenting the quality of the client's pulse, which of the following terms should the nurse use?
Correct Answer: C
Rationale: Atrial fibrillation is characterized by an irregularly irregular pulse due to uncoordinated atrial electrical activity.
Question 2 of 5
A nurse is preparing to administer 0.9% sodium chloride 1 L IV to infuse over 8 hr. The drop factor of the manual IV tubing set is 15 gtts/mL. The nurse should set the manual IV infusion to deliver how many gtt/min? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 31 gtt/min
Rationale: Volume = 1,000 mL, time = 480 min, drop factor = 15 gtts/mL. Gtt/min = (1,000 ÷ 480) × 15 = 31.25, rounded to 31.
Question 3 of 5
A home health nurse is collecting data from a patient who has heart failure and notes the patient has had a weight gain of 1.8 kg, as well as generalized edema, since the last visit 3 days ago. Which of the following actions is a priority for the nurse to take?
Correct Answer: C
Rationale: Ensuring diuretic compliance is the priority to address fluid retention indicated by weight gain and edema.
Question 4 of 5
A nurse is planning to perform an electrocardiogram (ECG) for a client who has a history of coronary heart disease. Which of the following actions should the nurse take? (Select all that apply.)
Correct Answer: A,B,C,E
Rationale: Cleaning skin, ensuring no movement, inspecting electrodes, and instructing normal breathing ensure accurate ECG results. Analgesics and NPO status are unnecessary.
Question 5 of 5
A nurse is reviewing the laboratory values for a client who has heart failure and is taking bumetanide for diuresis. For which of the following results should the nurse notify the provider?
Correct Answer: A
Rationale: Potassium 2.3 mEq/L indicates severe hypokalemia, which can cause dangerous arrhythmias, especially in heart failure.