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 captopril. Which of the following findings should the nurse instruct the client to report to the provider?
Correct Answer: A
Rationale: Captopril, an ACE inhibitor, can cause agranulocytosis, leading to symptoms like sore throat, which should be reported. Increased appetite, tinnitus, and weight gain are not typical adverse effects.
Question 2 of 5
A nurse is assisting with the care of a client who is receiving heparin via continuous IV infusion. Which of the following laboratory values should the nurse monitor?
Correct Answer: B
Rationale: Heparin's anticoagulant effect is monitored using aPTT to ensure therapeutic levels and prevent bleeding. PT and INR are used for warfarin, and platelet count is monitored for heparin-induced thrombocytopenia.
Question 3 of 5
A nurse is reinforcing teaching with a client who has a new prescription for warfarin. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: Ibuprofen can increase bleeding risk with warfarin and should be avoided. Green leafy vegetables affect warfarin's efficacy, razors increase bleeding risk, and citrus fruits are not contraindicated.
Question 4 of 5
A nurse is collecting data from a client who has a history of deep vein thrombosis (DVT) and is receiving warfarin. Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: An INR of 5.2 indicates excessive anticoagulation, increasing bleeding risk, and should be reported. Other findings are within normal limits.
Question 5 of 5
A nurse is assisting with the care of a client who is postoperative following a coronary artery bypass graft (CABG). Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: Incision site erythema may indicate infection, a serious postoperative complication requiring prompt reporting. Other findings are within normal limits.