ATI RN
ATI Med Surg exam 2 III Questions
Question 1 of 5
A nurse is providing teaching to a client who has a family history of hypertension. The nurse should inform the client that his blood pressure of 124/85 mm Hg places him in which of the following categories?
Correct Answer: B
Rationale: Blood pressure of 124/85 mm Hg falls within the elevated (prehypertension) category, defined as systolic 120-129 mm Hg and diastolic less than 80 mm Hg.
Question 2 of 5
A nurse is caring for a client who reports an area of redness, warmth, tenderness and pain in the right calf. The nurse anticipates which of the following orders when notifying the provider of this finding?
Correct Answer: C
Rationale: Venous duplex ultrasound is the gold standard for diagnosing DVT as it visualizes blood flow and identifies thrombi within the veins, providing accurate and non-invasive detection.
Question 3 of 5
A nurse is performing an ECG on a client who is experiencing chest pain. Which of the following statements should the nurse make?
Correct Answer: B
Rationale: Electrodes applied to the chest and extremities detect the electrical activity of the heart, necessary for accurate ECG readings and diagnosing potential cardiac issues.
Extract:
Nurses Notes
Vital Signs
Provider's Prescriptions
0700: Client arrived in the ED complaining of chest discomfort and shortness of breath. Alert and oriented x3. Reports a history of hypertension and diabetes mellitus. Skin is warm and dry. Respirations are 18/min, easy and regular. Oxygen saturation is 91% on room air. Morphine Sulfate 2 mg administered IVP at 0715 for pain management. Client resting in bed, denies pain at this time.
Question 4 of 5
A nurse is caring for a 58-year-old male client in the emergency department (ED) who presents with an irregular pulse and elevated blood pressure. The nurse is planning care for the client. For each potential prescription, indicate whether it is indicated, nonessential, or contraindicated.
| Options | Indicated | Nonessential | Contraindicated |
|---|---|---|---|
| Administer O2 to maintain oxygen saturation greater than 90%. | |||
| Apply continuous ECG monitoring. | |||
| Obtain the client's family history. | |||
| Prepare the client for intubation. |
Correct Answer: A,B
Rationale: Administering O2 to maintain oxygen saturation greater than 90% is indicated to improve tissue oxygenation. Continuous ECG monitoring is crucial for detecting arrhythmias and ischemic changes.
Extract:
Question 5 of 5
A nurse is teaching a client who has hypertension and a new prescription for atenolol. Which of the following findings should the nurse include as adverse effects of this medication?
Correct Answer: D
Rationale: Bradycardia, a decrease in heart rate, is a known adverse effect of atenolol as it reduces sympathetic nervous system activity.