ATI LPN
ATI LPN Med Surg Level 3 Questions
Extract:
Question 1 of 5
A nurse is preparing to administer potassium chloride 20 mEq. The amount available is potassium chloride liquid 40 mEq/15 mL. How many ml should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 7.5 mL
Rationale: Desired dose is 20 mEq, available concentration is 40 mEq/15 mL. mL = (20 mEq ÷ 40 mEq) × 15 mL = 7.5 mL.
Question 2 of 5
A nurse is assisting with collecting data on a client who is on a continuous ECG monitor. The client's ECG tracing shows no identifiable P waves and an irregular ventricular rate. The nurse should recognize the client is experiencing which of the following cardiac dysrhythmias?
Correct Answer: C
Rationale: In atrial fibrillation, P waves are absent, and the ventricular rhythm is irregular. This matches the ECG description given in the question.
Question 3 of 5
A nurse is preparing to perform a 12-lead electrocardiogram (ECG). Which of the following instructions should the nurse provide to the client?
Correct Answer: C
Rationale: Movement during an ECG can interfere with the results by causing artifact, so it's important for the client to remain still while the test is being performed.
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 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.