ATI LPN
ATI LPN Med Surg Level 3 Questions
Extract:
Question 1 of 5
A nurse is collecting data from a client who has heart failure, prior to the administration of furosemide (Lasix). For which of the following findings should the nurse withhold the medication?
Correct Answer: D
Rationale: Furosemide is a potent diuretic that can further lower blood pressure. A blood pressure of 80/40 mm Hg is hypotensive, and administering furosemide could exacerbate this.
Question 2 of 5
A nurse is reinforcing teaching with a newly licensed nurse about reading a client's ECG tracing. The nurse should include in the teaching that the P wave represents which of the following cardiac electrical activities?
Correct Answer: D
Rationale: The P wave represents atrial depolarization, which is the electrical activity that triggers the contraction of the atria.
Question 3 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 4 of 5
A nurse in a clinic is reviewing teaching about food choices with a client who has recently begun taking warfarin. The nurse should instruct the client to limit consumption of which of the following foods?
Correct Answer: A
Rationale: Kale is high in vitamin K, which can counteract the effects of warfarin, reducing its effectiveness.
Question 5 of 5
A nurse us collecting data from a client who has right sided heart faiulure. Which of the following should the nurse expect?
Correct Answer: C
Rationale: Hepatomegaly is a sign of right-sided heart failure due to systemic venous congestion affecting the liver.