ATI LPN
ATI LPN Med Surg Level 3 II Questions
Extract:
Question 1 of 5
A nurse is reinforcing teaching with an older adult client who has been newly diagnosed with a heart murmur. Which of the following statements should the nurse make?
Correct Answer: D
Rationale: A heart murmur results from turbulent blood flow, often due to valve stenosis or regurgitation, making this the accurate explanation.
Question 2 of 5
A nurse is monitoring a client's peripheral circulation. Identify where the nurse should palpate to check the posterior tibial pulse.
Correct Answer: A
Rationale: The posterior tibial pulse is palpated behind the medial malleolus, where the posterior tibial artery is located, to assess lower extremity circulation.
Question 3 of 5
A nurse is administering nicardipine to a client who has a BP of 180/120 mm Hg. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: In a hypertensive crisis, frequent BP monitoring (every 5 minutes) is critical to assess nicardipine's effectiveness and prevent overly rapid BP reduction.
Question 4 of 5
A nurse is preparing to administer digoxin 0.25 mg PO to a client. The amount available is digoxin 0.125 mg tablets. How many tablets should the nurse administer to the client? (Round to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 2 tablets
Rationale: Prescribed dose (0.25 mg) divided by available dose (0.125 mg) equals 2 tablets.
Question 5 of 5
A nurse is counting a client's apical pulse rate. Identify where the nurse should place the stethoscope to auscultate the apical pulse.
Correct Answer: A
Rationale: The apical pulse is auscultated at the fifth intercostal space, midclavicular line, where the heart's apex is located.