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 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 2 of 5
A nurse is assisting with the care of a client following a left femoral cardiac angiography. The nurse should place a sandbag on the client over which of the following areas?
Correct Answer: B
Rationale: The sandbag should be placed over the left groin area where the femoral artery was accessed to apply pressure and prevent bleeding.
Question 3 of 5
A nurse is reinforcing teaching with a middle-age client about hypertension. Which of the following information should the nurse include in the teaching?
Correct Answer: C
Rationale: Checking potassium levels is important when taking thiazide diuretics due to the risk of hypokalemia.
Question 4 of 5
A nurse is collecting data from a client at a follow-up clinic visit for acute low back pain. A goal for this client is to use proper body mechanics at all times. Which of the following findings indicates that the client is meeting this goal?
Correct Answer: D
Rationale: Facing the direction of movement prevents twisting of the spine, reduces strain on the back, and promotes safe movement, indicating proper body mechanics.
Question 5 of 5
A home health nurse is collecting data from a patient who has heart failure and notes the patient has had a weight gain of 1.8 kg (4 lb), as well as generalized edema, since the last visit 3 days ago. Which of the following actions should the nurse take next?
Correct Answer: B
Rationale: Notifying the RN case manager of the change in status is essential because a weight gain of this magnitude, along with generalized edema, may indicate worsening heart failure, requiring timely assessment and possible treatment adjustment.