ATI LPN
ATI LPN Level 3 Med Surg Exam Questions
Extract:
Question 1 of 5
A nurse is preparing to administer 0.9% sodium chloride (NaCl) 750 mL IV to infuse over 8 hr. The nurse should set the IV pump to deliver how many mL/hr? (Round to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 94 mL/hr
Rationale:
To calculate the rate, divide the total volume to be infused by the time (in hours). Rate = 750 mL ÷ 8 hr = 93.75 mL/hr. Rounded to the nearest whole number: 94 mL/hr.
Question 2 of 5
A nurse is caring for a client who has just been diagnosed with angina pectoris. The client tells the nurse that he is afraid of dying from a heart attack. Which of the following is an appropriate nursing response?
Correct Answer: D
Rationale: Tell me more about these fears. This response is therapeutic and encourages the client to express his concerns and feelings, which is a key part of addressing fear and anxiety.
Question 3 of 5
A nurse is caring for a client scheduled for coronary artery bypass grafting who reports he is no longer certain he wants to have the procedure. Which of the following responses should the nurse make?
Correct Answer: D
Rationale: Bypass surgery must be very frightening for you. This response uses a therapeutic communication technique by acknowledging the client's emotions and opening the conversation for further exploration of their concerns.
Question 4 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 5 of 5
A nurse is collecting data from a client who requires bed rest and has developed thrombophlebitis. Which of the following findings should the nurse expect when examining the client's leg?
Correct Answer: C
Rationale: Edema is a common finding with thrombophlebitis due to venous inflammation and obstruction of blood flow, which leads to fluid accumulation in the affected limb.