ATI LPN
ATI LPN Med Surg Level 3 Questions
Extract:
Question 1 of 5
A nurse is performing an electrocardiogram on a client who has been experiencing chest pain over the past week or so. Which of the following statements should the nurse make to the patient prior to the test?
Correct Answer: A
Rationale: The nurse needs to apply electrodes to the chest and extremities to obtain the ECG reading, and this is a correct statement to prepare the client.
Question 2 of 5
A nurse is reinforcing teaching with a client who is scheduled to have a permanent pacemaker implanted. Which of the following statements should the nurse include in the teaching?
Correct Answer: A
Rationale: Limiting arm movement prevents dislodgement of pacemaker leads.
Question 3 of 5
A nurse is preparing to administer 0.9% sodium chloride 1 L IV to infuse over 8 hr. The drop factor of the manual IV tubing set is 15 gtts/mL. The nurse should set the manual IV infusion to deliver how many gtt/min? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 31 gtt/min
Rationale: Volume = 1,000 mL, time = 480 min, drop factor = 15 gtts/mL. Gtt/min = (1,000 ÷ 480) × 15 = 31.25, rounded to 31.
Question 4 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, as well as generalized edema, since the last visit 3 days ago. Which of the following actions is a priority for the nurse to take?
Correct Answer: C
Rationale: Ensuring diuretic compliance is the priority to address fluid retention indicated by weight gain and edema.
Question 5 of 5
A nurse is reinforcing teaching with a newly licensed nurse about reading a client's ECG tracing. The nurse should include in the teaching that the P wave represents which of the following cardiac electrical activities?
Correct Answer: D
Rationale: The P wave represents atrial depolarization, which is the electrical activity that triggers the contraction of the atria.