ATI LPN
ATI LPN Med Surg Exam 4 Questions
Extract:
Question 1 of 5
A nurse is collecting data on a client who has a heart rate of 56/min. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: A heart rate of 56/min indicates bradycardia, which can reduce cardiac output and lead to dizziness due to decreased cerebral perfusion.
Question 2 of 5
A nurse is reinforcing teaching to a client who has arrhythmogenic cardiomyopathy about the risk for sudden cardiac death. Which of the following client statements indicates to the nurse an understanding of the teaching?
Correct Answer: D
Rationale: Avoiding competitive recreational sports reduces the risk of arrhythmias and sudden cardiac death.
Question 3 of 5
A nurse is contributing to the plan of care for a client who is 24 hr postoperative following an aortic valve replacement with a biologic valve. Which of the following interventions should the nurse include in the plan?
Correct Answer: B
Rationale: Monitoring daily weight is essential following valve replacement to detect fluid retention or heart failure, which can indicate compromised cardiac function.
Extract:
Nurses Notes
Day 1:
Oriented to person, place, and time. Speech is slow. Unilateral resting tremors noted in right arm. Gait is slow and rigid.
6 months later:
Oriented to person and place, disoriented to date and time. Speech is slow and slurred. Bilateral resting tremors noted in extremities and generalized muscle stiffness. Facial rigidity and drooling noted. Gait is slow and client shuffles their feet when ambulating.
Question 4 of 5
A nurse is caring for a client. For each client finding, click to specify if the finding is consistent with Parkinson's disease, stroke, and/or multiple sclerosis. Each finding can support more than one disease process.
| Options | Parkinson's disease | Stroke | Multiple sclerosis |
|---|---|---|---|
| Ambulation pattern: Parkinson's disease | |||
| Muscle movements: Parkinson's disease | |||
| Speech: Parkinson's disease, Stroke, Multiple sclerosis | |||
| Orientation status: Parkinson's disease, Stroke, Multiple sclerosis | |||
| Facial rigidity: Parkinson's disease |
Correct Answer: A,B,C,D,E
Rationale: 1. Ambulation Pattern: The slow and shuffling gait is characteristic of Parkinson's disease due to muscle rigidity and bradykinesia. 2. Muscle Movements: Unilateral resting tremors and generalized muscle stiffness are hallmark signs of Parkinson's disease. 3. Speech: Slow and slurred speech is common in Parkinson's disease, stroke (due to dysarthria), and multiple sclerosis (due to neurological involvement). 4. Orientation Status: Disorientation can occur in later stages of Parkinson's disease, stroke, and multiple sclerosis due to cognitive decline. 5. Facial Rigidity: Facial rigidity, or 'masked face,' is a classic symptom of Parkinson's disease.
Extract:
Question 5 of 5
A nurse has received report on a client who has a basilar skull fracture. Which of the following findings should the nurse anticipate with this client?
Correct Answer: B,C
Rationale: Pooling of blood around the eyes ('raccoon eyes') and bruising over the mastoid process (Battle's sign) are classic signs of a basilar skull fracture.