ATI LPN
ATI LPN Med Surg Midterm Questions
Extract:
Question 1 of 5
A nurse is reinforcing teaching with a client who has a new prescription for nifedipine. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: Nifedipine can cause peripheral edema, so clients should monitor for ankle swelling.
Question 2 of 5
A nurse is administering an IV antihypertensive to a client who has a BP of 185/130 mm Hg. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Monitoring the client's blood pressure every 5 minutes is critical when administering an IV antihypertensive to assess the medication's effectiveness and ensure safety, given the client's high BP. Other actions are important but not the immediate priority.
Question 3 of 5
A nurse is caring for a client who has been taking warfarin and has an international normalized ratio (INR) time of 5. Which of the following medications should the nurse anticipate the provider to prescribe?
Correct Answer: D
Rationale: An INR of 5 indicates excessive anticoagulation. Vitamin K reverses warfarin's effects, lowering INR. Ferrous sulfate, heparin, and prednisone are not appropriate for this purpose.
Question 4 of 5
A nurse is reinforcing preoperative teaching with a client who will undergo abdominal surgery. The nurse explains that the client will wear antiembolism stockings after the procedure. When the client asks what the stockings do, which of the following responses should the nurse make?
Correct Answer: C
Rationale: Antiembolism stockings improve circulation by applying pressure to the legs, preventing blood pooling and reducing the risk of deep vein thrombosis. They do not primarily protect skin, aid exercises, or provide warmth.
Question 5 of 5
A nurse is collecting data from a client prior to administering metoprolol. For which of the following findings should the nurse withhold the medication?
Correct Answer: C
Rationale: A heart rate of 50/min indicates bradycardia, and metoprolol, a beta-blocker, could worsen it, requiring withholding and provider notification.