ATI LPN
ATI LPN Med Surg Level 3 II Questions
Extract:
Question 1 of 5
A nurse is reinforcing teaching with a client who has hypertension and is taking propranolol. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: A
Rationale: Propranolol can cause orthostatic hypotension; sitting before standing prevents falls, showing correct understanding.
Question 2 of 5
A nurse is caring for a client who has hypertension and is to start taking atenolol (a betablocker) which also reduces the workload of the heart. The nurse should instruct the client to monitor for which of the following findings as an adverse effect of this medication?
Correct Answer: A
Rationale: Atenolol can cause bradycardia by slowing the heart rate, a key adverse effect to monitor.
Question 3 of 5
A nurse is collecting data about a client's circulatory system. Which of the following pulse sites should the nurse avoid checking bilaterally at the same time?
Correct Answer: D
Rationale: Checking carotid pulses bilaterally simultaneously can reduce cerebral blood flow, risking syncope. One side should be palpated at a time.
Question 4 of 5
A nurse is reviewing the prescriptions for a newly admitted client who is to undergo cardiac testing. For which of the following procedures should the nurse verify that the client has given written informed consent?
Correct Answer: D
Rationale: A nuclear stress test is invasive, involving radioactive substances and stress induction, requiring written informed consent.
Question 5 of 5
A nurse in a provider's office is reinforcing teaching with a client who has risk factors for atherosclerosis. The nurse should help the client identify which of the following as treatment goals?
Correct Answer: B
Rationale: Maintaining blood pressure below 140/90 mm Hg is a realistic goal to reduce vascular damage in atherosclerosis. Cholesterol should be <200 mg/dL, fat intake should be 25-35% of calories, and BMI should be in the healthy range (18.5-24.9).