ATI LPN
ATI LPN Med Surg Level 3 Questions
Extract:
Question 1 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 2 of 5
A nurse is performing an electrocardiogram on a client who has been experiencing chest pain over the past week or so. Which of the following statements should the nurse make to the patient prior to the test?
Correct Answer: A
Rationale: The nurse needs to apply electrodes to the chest and extremities to obtain the ECG reading, and this is a correct statement to prepare the client.
Question 3 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 4 of 5
A nurse is assisting with the care of a client who was admitted to the telemetry unit after he experienced chest pain, dyspnea and diaphoresis. Which of the following ECG findings is a manifestation of acute myocardial infarction?
Correct Answer: B
Rationale: ST-segment elevation is a hallmark finding of an acute myocardial infarction (STEMI), indicating myocardial injury.
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.