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. For which of the following findings should the nurse withhold the medication and report to the provider?
Correct Answer: B
Rationale: Blurred vision can indicate digoxin toxicity, requiring the medication to be withheld and the provider notified.
Question 2 of 5
A nurse is caring for a client who has a prescription for digoxin 0.25 mg PO daily for heart failure. The client's current vital signs are: BP 144/96 mmHg, heart rate 54/min, respirations 18/min, and temperature 37°C (98.6°F). Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Digoxin should be withheld if the heart rate is below 60 bpm to avoid further slowing.
Question 3 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 4 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.
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.