ATI LPN
ATI LPN Med Surg Midterm Questions
Extract:
Question 1 of 5
A nurse is collecting data from a client who has venous insufficiency. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: Pitting edema is a classic finding in venous insufficiency due to fluid accumulation from impaired venous return.
Question 2 of 5
A nurse is reviewing the medical record of a client who has metabolic acidosis. The nurse should realize that which of the following findings contributes to the development of metabolic acidosis?
Correct Answer: D
Rationale: Salicylate intoxication causes metabolic acidosis by increasing acid levels in the blood. Vomiting causes alkalosis, hyperventilation causes respiratory alkalosis, and diarrhea (likely meant as diarrhea) can cause acidosis but is less specific here.
Question 3 of 5
A nurse is administering an IV antihypertensive to a client who has a BP of 185/130 mm Hg. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Monitoring the client's blood pressure every 5 minutes is critical when administering an IV antihypertensive to assess the medication's effectiveness and ensure safety, given the client's high BP. Other actions are important but not the immediate priority.
Question 4 of 5
A newly hired nurse asks a charge nurse what safety measures are in place to prevent diversion of controlled substances on the unit. Which of the following statements should the charge nurse make? (Select All that Apply)
Correct Answer: B,C,D
Rationale: Using automated dispensing devices (
B), periodic reviews (
C), and counting substances (
D) prevent diversion. Pocketing refused medication is unsafe, but witnessing disposal is correct.
Question 5 of 5
A nurse is assisting in the preparation of an in-service about evidence-based practice (EBP). Which of the following questions should the nurse include when discussing critical appraisal of collected evidence? (Select All that Apply)
Correct Answer: A,B,C,D,F
Rationale: Critical appraisal involves assessing applicability (
A), methods (
B), analysis (
C), reliability (
D), and purpose (F). Costs (E) are not typically a focus of evidence appraisal.