ATI > LPN

Exam Review

Ati lpn med surg cardiac proctored test

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Total Questions : 48

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Question 1:

A nurse is giving a presentation to a community group about preventing atherosclerosis. Which of the following should the nurse include as a modifiable risk factor for this disorder? (Select all that apply.)

Answer and Explanation

A
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Question 2:

A nurse is assisting with the care of a client in the emergency department and reports severe radiating chest pain and shortness of breath. The client appears restless, frightened, and slightly cyanotic. The provider prescribes oxygen by nasal cannula at 4 L/min stat, cardiac enzyme levels, IV fluids, and a 12-lead ECG. Which of the following actions should the nurse take first?

Answer and Explanation

A
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Question 3:

A nurse in a clinic is caring for a client who has heart failure and is taking digoxin. Which of the following statements by the client indicates the client is experiencing digoxin toxicity?

Answer and Explanation

A
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Question 4:

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.)

______ tablets

Answer and Explanation
Correct Answer: "2" tablets

Explanation

Desired dose = 0.25 mg.

Tablet strength = 0.125 mg.

Number of tablets = 0.25 ÷ 0.125.

Step-by-step: 0.125 × 2 = 0.250. Therefore 0.25 ÷ 0.125 = 2.

Round to nearest whole number → 2 tablets.


A
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Question 5:

A nurse is preparing to administer 0.9% sodium chloride 1 L IV to infuse over 8 hr. The drop factor of the manual IV tubing set is 15 gtts/mL. The nurse should set the manual IV infusion to deliver how many gtt/min? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

______ gtts/min

Answer and Explanation
Correct Answer: "31" gtts/min.

Explanation

1 L = 1000 mL.

Infusion time = 8 hours.

mL per hour = 1000 mL ÷ 8 hr = 125 mL/hr.

Drop factor = 15 gtts/mL.

gtts per minute = (mL/hr × gtts/mL) ÷ 60 min/hr.

Compute: 125 × 15 = 1875.

1875 ÷ 60 = 31.25 gtts/min.

Round to nearest whole number → 31 gtts/min.


A
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Question 6:

A nurse is reviewing a provider's admission orders for a client who has acute heart failure. For which of the following prescriptions should the nurse obtain clarification?

Answer and Explanation

A
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Question 7:

A nurse is collecting data from a client who has an acute myocardial infarction (MI). Which of the following clinical manifestations should the nurse expect to find? (Select all that apply.)

Answer and Explanation

A
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Question 8:

A nurse is collecting data from a client who is receiving continuous cardiac monitoring that is indicating premature ventricular contractions (PVCs). Which of the following findings should the nurse expect when assessing the client?

Answer and Explanation

A
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Question 9:

A nurse is assisting with the care of a client who was admitted to the telemetry unit after he experienced chest pain, dyspnea and diaphoresis. Which of the following ECG findings is a manifestation of acute myocardial infarction?

Answer and Explanation

A
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Question 10:

A nurse is caring for a client who asks why she is being prescribed aspirin 325 mg daily following a myocardial infarction. The nurse should instruct the client that aspirin is prescribed for clients who have coronary artery disease for which of the following effects?

Answer and Explanation

A
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