ATI LPN
ATI LPN Med Surg Exam 4 Questions
Extract:
Question 1 of 5
A nurse is collecting data from a client who has heart failure prior to the administration of furosemide. For which of the following findings should the nurse withhold the medication?
Correct Answer: A
Rationale: A blood pressure of 80/40 mm/Hg indicates hypotension, which is a contraindication for administering furosemide, as it can further lower blood pressure.
Question 2 of 5
A nurse is caring for a client who has thrombophlebitis and is receiving a continuous heparin infusion. Which of the following medications should the nurse have available to reverse heparin's effects?
Correct Answer: B
Rationale: Protamine sulfate is the specific antidote for heparin, used to reverse its anticoagulant effects.
Question 3 of 5
A nurse is reinforcing teaching with a client who has peripheral vascular disease (PVD). The nurse should recognize that which of the following statements by the client indicates a need for further teaching?
Correct Answer: B
Rationale: Wearing stockings with elastic tops can restrict blood flow and is not recommended for clients with PVD, indicating a need for further teaching.
Question 4 of 5
A nurse is assisting with the care of a client who was admitted to the telemetry unit after he experienced chest pain, dyspnea, and diaphoresis. Which of the following ECG findings is a manifestation of acute myocardial infarction?
Correct Answer: C
Rationale: ST-segment elevation above the isoelectric line is a key indicator of an acute myocardial infarction (STEMI), signifying myocardial injury.
Question 5 of 5
A nurse is collecting data on a client who has coronary artery disease. Which of the following manifestations should the nurse anticipate?
Correct Answer: B,C,D
Rationale: Chest pain, palpitations, and shortness of breath are common manifestations of coronary artery disease due to reduced blood flow and cardiac strain.