ATI LPN
ATI LPN Med Surg Level 3 Questions
Extract:
Question 1 of 5
A nurse is preparing to administer digoxin to a client who has heart failure. Before administering this medication, which of the following actions should the nurse take?
Correct Answer: C
Rationale: Measuring the apical pulse for one minute is essential; digoxin should be withheld if the heart rate is below 60 bpm.
Question 2 of 5
A nurse is assisting with the care of a client in the emergency department and reports severe radiating chest pain and shortness of breath. The client appears restless, frightened, and slightly cyanotic. The provider prescribes oxygen by nasal cannula at 4 L/min stat, cardiac enzyme levels. IV fluids, and a 12-lead ECG. Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: The priority is to address the client's cyanosis and shortness of breath. Oxygen therapy improves oxygen delivery to tissues and should be the first intervention.
Question 3 of 5
A nurse in a clinic is reviewing teaching about food choices with a client who has recently begun taking warfarin. The nurse should instruct the client to limit consumption of which of the following foods?
Correct Answer: A
Rationale: Kale is high in vitamin K, which can counteract the effects of warfarin, reducing its effectiveness.
Question 4 of 5
A nurse in a provider's office is collecting data from a client who reports dyspnea and fatigue. The nurse determines that the client also has tachycardia and edema. Which of the following disorders should the nurse suspect?
Correct Answer: D
Rationale: Heart failure is characterized by dyspnea, fatigue, tachycardia, and edema due to the heart's inability to pump effectively.
Question 5 of 5
A nurse is reinforcing teaching about warfarin with a client who has a new onset of atrial fibrillation. Which of the following statements should the nurse include in the teaching?
Correct Answer: A
Rationale: Warfarin reduces stroke risk in atrial fibrillation by preventing clot formation.