ATI LPN
ATI LPN Med Surg Cardiac Exam Questions
Extract:
Question 1 of 5
A nurse is collecting data from a client who has hypertension and a prescription for propranolol. A history of which of the following conditions should be reported to the provider?
Correct Answer: D
Rationale: Propranolol can worsen heart failure by reducing myocardial contractility, making it a critical condition to report for clients prescribed this medication.
Question 2 of 5
A nurse is collecting data from a client who has peripheral arterial disease (PAD). Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Intermittent claudication, or muscle pain during exercise, is a hallmark symptom of PAD due to inadequate blood supply to the muscles.
Question 3 of 5
A nurse is caring for a client who reports an area of redness, warmth, tenderness and pain in the right calf. Which of the following actions should the nurse anticipate when notifying the provider of this finding?
Correct Answer: D
Rationale: A venous duplex ultrasound is the appropriate diagnostic test to confirm a suspected deep vein thrombosis (DVT), which is suggested by the client's symptoms.
Question 4 of 5
A nurse is assisting with the care of a client in the emergency department and reports severe radiating chest pain and shortness of breath. The client appears restless, frightened, and slightly cyanotic. The provider prescribes oxygen by nasal cannula at 4 L/min stat, cardiac enzyme levels, IV fluids, and a 12-lead ECG. Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: Initiating oxygen therapy is the priority to address hypoxia, indicated by cyanosis and dyspnea, to prevent further ischemic damage to the heart.
Question 5 of 5
Following admission, a client with a vascular occlusion of the right lower extremity calls the nurse and reports difficulty sleeping because of cold feet. Which of the following nursing actions should the nurse take to promote the client's comfort?
Correct Answer: A
Rationale: Slipper socks provide warmth without risking burns or further vascular compromise, which could occur with heating pads or rubbing in a client with vascular occlusion.