ATI LPN
ATI LPN Med Surg Level 3 II Questions
Extract:
Question 1 of 5
While auscultating a client's heart sounds, the nurse hears turbulence between S1 and S2. The nurse should document this finding as which of the following?
Correct Answer: A
Rationale: Turbulence between S1 and S2 occurs during systole, indicating a systolic murmur, often due to valve issues like aortic stenosis.
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 reinforcing teaching with a client who has hypertension and is taking propranolol. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: A
Rationale: Propranolol can cause orthostatic hypotension; sitting before standing prevents falls, showing correct understanding.
Question 4 of 5
A nurse is reinforcing instructions with a client who is scheduled for a cardiac catheterization with angiography. Which of the following statements should the nurse include in the instructions?
Correct Answer: D
Rationale: Bed rest for 4-6 hours post-catheterization prevents bleeding at the insertion site, making this a correct instruction.
Question 5 of 5
When a nurse obtains an unusually low blood pressure measurement for a client whose blood pressure is generally elevated, she considers the possibility of a problem with her technique. Which of the following sources of error should she consider as a possible cause of the low reading?
Correct Answer: B
Rationale: Positioning the arm above heart level can falsely lower BP readings. The arm should be at heart level for accuracy.