ATI LPN
ATI LPN Med Surg Midterm Questions
Extract:
Question 1 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 2 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.
Question 3 of 5
A nurse is collecting data from a client who is at the end of life. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Irregular respirations, such as Cheyne-Stokes respirations, are common at the end of life due to the body's declining ability to regulate breathing. Moist mucous membranes, tachycardia, and hypertension are not typical as the body shuts down.
Question 4 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.
Question 5 of 5
A nurse is caring for a client who is scheduled for surgical repair of a femur fracture and has a prescription for lorazepam preoperatively. Which of the following statements made by the client should indicate to the nurse that the medication has been effective?
Correct Answer: C
Rationale: Feeling sleepy indicates lorazepam's effectiveness in reducing preoperative anxiety. Dry mouth, numbness, and decreased appetite are not direct indicators.