ATI RN
ATI Med Surg Nurs 300 Day Exam 4 Questions
Question 1 of 5
The nurse would check for leaks in the chest tube and water seal system when:
Correct Answer: A
Rationale: Continuous bubbling in the water-seal chamber suggests a potential air leak in the system, which needs to be investigated. The water-seal chamber is designed to prevent backflow of air into the pleural space, and persistent bubbling typically indicates that air is escaping from the pleural cavity or there is a problem with the tubing or chest tube placement.
Question 2 of 5
The nurse is to begin a nitroglycerin infusion for a client diagnosed with an anterior wall myocardial infarction. Which assessment finding should the nurse report to the provider immediately?
Correct Answer: D
Rationale: A blood pressure of 90/50 mmHg is significantly low and could indicate hypotension, a known side effect of nitroglycerin infusion. This can compromise perfusion to vital organs and may require adjustment or discontinuation of the infusion, making it the most urgent finding to report.
Question 3 of 5
A nurse is providing teaching to a client newly diagnosed with Parkinson's disease who is prescribed carbidopa/levodopa. What should be included in client teaching?
Correct Answer: C
Rationale: Orthostatic hypotension is a common side effect of carbidopa/levodopa. Educating the client to change positions slowly helps prevent dizziness or falls, which is critical for safety.
Question 4 of 5
The nurse administers IV nitroglycerin to a client diagnosed with an acute myocardial infarction. In evaluating the effectiveness of this intervention, the nurse should monitor for:
Correct Answer: B
Rationale: The primary therapeutic goal of nitroglycerin in acute myocardial infarction is to relieve chest pain by dilating blood vessels, reducing myocardial oxygen demand, and improving blood flow to the heart.
Question 5 of 5
The nurse monitors the client in the immediate hours following an anterior-lateral wall myocardial infarction for the development of:
Correct Answer: B
Rationale: Ventricular dysrhythmias are a common and life-threatening complication in the immediate hours following an anterior-lateral wall myocardial infarction due to electrical disturbances caused by myocardial injury.