ATI LPN
ATI LPN Med Surg Midterm Questions
Extract:
Question 1 of 5
A nurse is providing change-of-shift report to another nurse for a client using the Introduction, Situation, Background, Assessment and Recommendation (ISBARR) communication tool, which of the following information should the nurse include as part of the situation component of this communication tool?
Correct Answer: C
Rationale: The situation component of ISBARR includes the client's current medical condition or reason for admission, providing context for the report.
Question 2 of 5
A nurse is assisting with the care of a client who has a new prescription for propranolol. Which of the following findings should the nurse monitor?
Correct Answer: B
Rationale: Propranolol, a beta-blocker, can lower heart rate, so it should be monitored to prevent bradycardia.
Question 3 of 5
A nurse is planning to use the nursing process to care for a client who is experiencing grief. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: The first step is to assess whether the client's grief is healthy or complicated to guide appropriate care planning.
Question 4 of 5
A nurse is assisting with the care of a client who has a new prescription for albuterol to treat asthma exacerbations. Which of the following findings should the nurse identify as an adverse effect of this medication?
Correct Answer: A
Rationale: Albuterol, a beta-agonist, can cause tachycardia as an adverse effect due to its stimulatory effects on the heart. Hypotension, sedation, and hypoglycemia are not typical.
Question 5 of 5
A nurse is caring for a client who has acute kidney injury. The client's ABGS are: PH:7.26, PaCO2: 30 mm Hg, HCO3: 14 mEq/L. Which of the following acid-imbalances should the nurse identify the client is experiencing?
Correct Answer: D
Rationale: A pH of 7.26 and low bicarbonate (14 mEq/L) indicate metabolic acidosis, common in acute kidney injury due to impaired acid excretion.