ATI LPN
ATI LPN Med Surg Midterm Questions
Extract:
Question 1 of 5
A nurse is collecting data from a client who has heart failure and is taking digoxin. Which of the following findings should the nurse identify as an adverse effect of this medication?
Correct Answer: A
Rationale: Blurred vision is a common adverse effect of digoxin toxicity. Weight gain, hypokalemia, and hyperglycemia are not directly caused by digoxin.
Question 2 of 5
A nurse is collecting data from a client who is receiving a continuous IV infusion of heparin. Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: An aPTT of 90 seconds indicates excessive anticoagulation with heparin, increasing bleeding risk, and should be reported. Other findings are normal.
Question 3 of 5
A nurse is caring for a client who has just learned he will need exploratory surgery the next day. As the nurse contributes to the preoperative teaching plan, which of the following actions should she take?
Correct Answer: B
Rationale: Reinforcing information at the client's level of understanding ensures effective preoperative teaching and comprehension.
Question 4 of 5
A nurse is providing change-of-shift report to another nurse for a client using the Introduction, Situation, Background, Assessment and Recommendation (ISBARR) communication tool, which of the following information should the nurse include as part of the situation component of this communication tool?
Correct Answer: C
Rationale: The situation component of ISBARR includes the client's current medical condition or reason for admission, providing context for the report.
Question 5 of 5
A nurse is collecting data from a client who has a history of heart failure and is receiving carvedilol. Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: A heart rate of 50/min indicates bradycardia, a potential adverse effect of carvedilol, and should be reported.