ATI LPN
ATI LPN Med Surg Level 3 II Questions
Extract:
Question 1 of 5
A nurse is reviewing blood pressure classifications with a client who has been newly diagnosed with hypertension. Which of the following should the nurse include as an example of stage 1 hypertension?
Correct Answer: B
Rationale: Stage 1 hypertension is systolic 130-139 mm Hg or diastolic 80-89 mm Hg. 134/86 mm Hg fits this category.
Question 2 of 5
A nurse is collecting data about a client's cardiac functioning. The nurse auscultates an S3 sound. Which of the following causes should the nurse suspect?
Correct Answer: B
Rationale: An S3 sound, a ventricular gallop, occurs in early diastole due to rapid ventricular filling, often indicating heart failure or fluid overload.
Question 3 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 4 of 5
A nurse is checking the apical pulse of a client who is taking several cardiovascular medications. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Counting the apical pulse for a full minute ensures accuracy, especially with cardiovascular medications that may alter heart rate or rhythm.
Question 5 of 5
A nurse is preparing to administer morning insulin to a client who has a prescription for 14 units of regular insulin and 28 units of NPH insulin subcutaneous daily. What is the total number of units of insulin that the nurse should prepare in the insulin syringe?
Correct Answer: A
Rationale: Adding 14 units (regular) and 28 units (NPH) gives a total of 42 units, which can be combined in one syringe.