ATI LPN
ATI LPN Med Surg Midterm Questions
Extract:
Question 1 of 5
A nurse is collecting data from a client who is receiving continuous cardiac monitoring that is indicating premature ventricular contractions (PVCs). Which of the following findings should the nurse expect when assessing the client?
Correct Answer: B
Rationale: PVCs cause irregular pulsations due to premature ventricular contractions disrupting normal heart rhythm.
Question 2 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 3 of 5
A nurse is caring for a client who has a prescription for diltiazem. The nurse measures the client's vital signs and notes that the client's apical heart rate is 49/min. The nurse should prepare to administer which of the following medications?
Correct Answer: A
Rationale: A heart rate of 49/min indicates bradycardia, and atropine is used to increase heart rate, unlike verapamil, digoxin, or carvedilol, which can lower it.
Question 4 of 5
A nurse is collecting data on a client who has respiratory acidosis. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Lethargy is a common symptom of respiratory acidosis due to increased carbon dioxide levels in the blood, which can cause confusion, drowsiness, and fatigue. Abdominal pain, dry skin, and numbness of fingers are not typically associated with this condition.
Question 5 of 5
A nurse is assisting with teaching a class about the effects of spirituality for clients who are near the end of life. Which of the following information should the nurse include?
Correct Answer: D
Rationale: Spirituality often enhances the quality of life near the end of life by providing peace, comfort, and meaning, rather than increasing hopelessness, depression, or the desire to hasten death.