ATI RN
ATI RN NSG 232 Exam Med Surg Questions
Question 1 of 5
A client has undergone diagnostic testing and received a diagnosis of sinus bradycardia. Which interventions are most appropriate and should be included in the client's plan of care? (SELECT ALL THAT APPLY)
Correct Answer: A,C,D
Rationale: A: Preventing vagal stimulation avoids worsening bradycardia. C: Falls prevention is crucial due to dizziness risk. D: Neurologic changes assess cerebral perfusion.
Question 2 of 5
A nurse is reviewing cardiac rhythms and heart blocks for a critical care course. The nurse is aware that which of the following describes first degree heart block?
Correct Answer: B
Rationale: A PR interval greater than 0.20 seconds is characteristic of first-degree heart block.
Question 3 of 5
A nurse is providing discharge teaching to a client who has a new diagnosis of heart failure. Which of the following instructions should the nurse include in the teaching?
Correct Answer: D
Rationale: A weight gain of 2 lbs. in 24 hours indicates fluid retention and worsening heart failure, requiring provider notification.
Question 4 of 5
A nurse is caring for a client who has deep vein thrombosis and has been on heparin continuous infusion for 5 days. The provider prescribes warfarin PO without discontinuing the heparin. The client asks the nurse why both anticoagulants are necessary. Which of the following statements should the nurse make?
Correct Answer: D
Rationale: Warfarin takes time to reach therapeutic levels, so heparin is continued until warfarin is fully active.
Question 5 of 5
A nurse is caring for a client who is scheduled for an exercise stress test. Which of the following medications should the nurse hold the morning of the stress test?
Correct Answer: A
Rationale: Tenormin (Atenolol), a beta-blocker, reduces heart rate and may affect stress test results, so it should be held.