ATI LPN
ATI LPN Med Surg Level 3 II Questions
Extract:
Question 1 of 5
The nurse notes the patient's lower legs are brown and discolored and their feet are cold and slightly blue in color when in the dependent position. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Discoloration and cold, blue feet suggest poor circulation. Checking pulses assesses arterial flow and guides further intervention.
Question 2 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 3 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 4 of 5
A nurse is reinforcing teaching with a young adult female client who has been prescribed lisinopril. Which of the following instructions should the nurse plan to include? (Select all that apply.)
Correct Answer: A,C
Rationale: Monitoring blood pressure ensures lisinopril efficacy. A persistent dry cough is a common side effect requiring reporting. Cholesterol monitoring is not routine for lisinopril, and excessive potassium intake should be avoided due to hyperkalemia risk.
Question 5 of 5
A nurse is assisting with the plan of care for a client immediately following a cardiac catheterization with coronary angiography. An arterial closure device was used to close the access site. Which of the following interventions should the nurse recommend?
Correct Answer: C
Rationale: Bed rest for 2 hours post-catheterization with an arterial closure device minimizes bleeding risk at the access site.