ATI LPN
ATI LPN Med Surg Midterm Questions
Extract:
Question 1 of 5
A nurse is reviewing the medical record of a client who has metabolic acidosis. The nurse should realize that which of the following findings contributes to the development of metabolic acidosis?
Correct Answer: D
Rationale: Salicylate intoxication causes metabolic acidosis by increasing acid levels in the blood. Vomiting causes alkalosis, hyperventilation causes respiratory alkalosis, and diarrhea (likely meant as diarrhea) can cause acidosis but is less specific here.
Question 2 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 3 of 5
A nurse is researching data about best practice for reducing medication errors on a surgical unit. Which of the following steps of evidence-based practice (EBP) is the nurse taking?
Correct Answer: B
Rationale: Researching data involves searching for credible sources, a key step in EBP to gather evidence for practice improvement.
Question 4 of 5
A nurse is delegating tasks for an assistive personnel (AP) to perform for a client who is 1-day postoperative following cardiac surgery. Which of the following tasks should the nurse perform herself?
Correct Answer: D
Rationale: Removing the sternal dressing requires a nurse's expertise to assess the surgical site for complications, which is beyond an AP's scope. Shower assistance, ambulation, and vital sign measurement can be delegated.
Question 5 of 5
A nurse is collecting data from a client who has peripheral arterial disease (PAD). Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: Intermittent claudication, pain during activity due to poor blood flow, is a hallmark of PAD. Pitting edema and brown discoloration are more typical of venous issues, and pulses are usually diminished in PAD.