ATI LPN
ATI LPN Med Surg Midterm Questions
Extract:
Question 1 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: D
Rationale: Intermittent claudication, pain during activity due to poor blood flow, is a hallmark of PAD. Pitting edema and brown discoloration are more typical of venous issues, and pulses are usually diminished in PAD.
Question 2 of 5
A nurse is assisting with the care of a client who has a new prescription for isosorbide mononitrate to treat chronic angina. Which of the following findings should the nurse include in the teaching as an adverse effect of this medication?
Correct Answer: C
Rationale: Headache is a common adverse effect of isosorbide mononitrate due to vasodilation. Weight gain, bradycardia, and hyperglycemia are not typical.
Question 3 of 5
A nurse is reinforcing teaching with a client who has a new prescription for captopril. Which of the following findings should the nurse instruct the client to report to the provider?
Correct Answer: A
Rationale: Captopril, an ACE inhibitor, can cause agranulocytosis, leading to symptoms like sore throat, which should be reported. Increased appetite, tinnitus, and weight gain are not typical adverse effects.
Question 4 of 5
A nurse is assisting with the care of a client who is receiving heparin via continuous IV infusion. Which of the following laboratory values should the nurse monitor?
Correct Answer: B
Rationale: Heparin's anticoagulant effect is monitored using aPTT to ensure therapeutic levels and prevent bleeding. PT and INR are used for warfarin, and platelet count is monitored for heparin-induced thrombocytopenia.
Question 5 of 5
A nurse is reinforcing teaching with a client who has a new prescription for warfarin. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: Ibuprofen can increase bleeding risk with warfarin and should be avoided. Green leafy vegetables affect warfarin's efficacy, razors increase bleeding risk, and citrus fruits are not contraindicated.