ATI LPN
ATI LPN Level 3 Med Surg Exam Questions
Extract:
Question 1 of 5
A nurse is measuring a client for knee-high antiembolic stockings to help prevent venous stasis. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Measure from the client's heel to the popliteal space. For knee-high stockings, measuring from the heel to the popliteal space (behind the knee) ensures the stockings fit properly without cutting off circulation or causing discomfort.
Question 2 of 5
A nurse is caring for a patient who has a suspected myocardial infarction. Which of the following should the nurse administer first?
Correct Answer: D
Rationale: Oxygen should be administered first in a suspected myocardial infarction to ensure the heart and tissues receive adequate oxygen, especially if the patient is hypoxic.
Question 3 of 5
A nurse is caring for a client who has thrombophlebitis and is receiving a continuous infusion of heparin. The client asks the nurse how long it will take for the heparin to dissolve the clot. Which of the following responses should the nurse make?
Correct Answer: B
Rationale: Heparin prevents new clots from forming rather than dissolving established clots. Heparin's role is to prevent new clots from forming, not to dissolve existing clots. The body's natural fibrinolytic system will eventually break down the clot.
Question 4 of 5
A nurse is caring for a client who is newly-admitted and has angina. The client asks the nurse, 'Why am I taking nitroglycerin?' Which of the following responses should the nurse make?
Correct Answer: A
Rationale: Nitroglycerin dilates cardiac blood vessels to deliver more oxygen to the heart. Nitroglycerin works by dilating the coronary arteries, increasing blood flow and oxygen delivery to the heart muscle, thereby reducing angina.
Question 5 of 5
The nurse is reinforcing teaching regarding diet to a client who has had a myocardial infarction. Which of the following diet choices by the client indicates an understanding of the teaching?
Correct Answer: B
Rationale: Baked turkey and salad: This is a healthy choice, as baked turkey is low in fat, and a salad provides nutrients without excessive fat or cholesterol, supporting heart health.