ATI LPN
ATI LPN Med Surg Exam 4 Questions
Extract:
Question 1 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.
Question 2 of 5
A nurse is contributing to the plan of care for a client who has dementia. Which of the following actions should the nurse include in the plan of care?
Correct Answer: A
Rationale: Providing a consistent daily routine helps reduce confusion and anxiety in clients with dementia.
Question 3 of 5
A nurse is reinforcing teaching to a client who has peripheral venous disease about management of symptoms. Which of the following client statements indicates to the nurse an understanding of the teaching?
Correct Answer: C
Rationale: Inspecting legs daily for changes is crucial for early detection of complications in peripheral venous disease.
Question 4 of 5
A nurse is contributing to the plan of care for a client who is admitted with a deep vein thrombosis (DVT) of the left leg. Which of the following interventions should the nurse include in the plan?
Correct Answer: D
Rationale: Monitoring platelet levels is important when anticoagulants are used to manage DVT, to assess for complications like heparin-induced thrombocytopenia.
Question 5 of 5
A nurse is caring for a client who has a spinal cord injury at T-4. The nurse should recognize that the client is at risk for autonomic dysreflexia. Which of the following interventions should the nurse take to prevent autonomic dysreflexia?
Correct Answer: A
Rationale: Preventing bladder distention by ensuring regular bladder emptying can help prevent autonomic dysreflexia, which is often triggered by noxious stimuli like bladder distention.