ATI RN
ATI Med Surg Nursing 200 Exam Questions
Question 1 of 5
The client says to the nurse, "I get a headache every time I put on my Nitropatch." Which response by the nurse would be most appropriate?
Correct Answer: B
Rationale: Headache is a common side effect of nitroglycerin due to vasodilation and typically subsides with continued use. The nurse should reassure the client and suggest analgesics like acetaminophen, rather than suggesting dosage changes or implying the headache is permanent.
Question 2 of 5
The nurse should monitor the client for clinical manifestations of digoxin toxicity if the laboratory report reflects a serum:
Correct Answer: B
Rationale: Low serum potassium (3.0 mEq/L) increases the risk of digoxin toxicity by enhancing digoxin binding to cardiac cells, leading to symptoms like nausea, confusion, and arrhythmias. Other options (glucose, calcium, sodium) are not directly linked to digoxin toxicity.
Question 3 of 5
The nurse is providing care for a client diagnosed with cardiovascular disease and hypertension who is complaining of chest pain. Which medication should the nurse administer?
Correct Answer: D
Rationale: Nitroglycerin is the appropriate choice for acute chest pain as it dilates coronary arteries, improving blood flow to the heart. Furosemide, diltiazem, and metoprolol do not act quickly enough to relieve acute anginal pain.
Question 4 of 5
A client is experiencing a thyroid storm precipitated by a right lower lobe pneumonia. The vital signs are: HR-140/min; RR-28, B/P-196/54; T-101.4°F, Pulse Oximetry-96%. What action should the nurse take?
Correct Answer: D
Rationale: Thyroid storm causes increased metabolic rate and dehydration risk. Maintaining IV fluids and monitoring hydration status are critical to prevent electrolyte imbalances and support circulation. Other options are not indicated based on the client's current condition.
Question 5 of 5
The nurse is providing care for a client diagnosed with cardiovascular disease and hypertension who is complaining of chest pain. Which medication should the nurse administer?
Correct Answer: D
Rationale: Nitroglycerin is the appropriate choice for acute chest pain as it dilates coronary arteries, improving blood flow to the heart. Furosemide, diltiazem, and metoprolol do not act quickly enough to relieve acute anginal pain.