ATI RN
ATI Rn 46 Med Surg Exam Questions
Extract:
Question 1 of 5
A client in sinus bradycardia, with a heart rate of 45 beats per minute and blood pressure of 82/60 mm Hg, reports dizziness. Which intervention should the nurse anticipate will be prescribed?
Correct Answer: D
Rationale: Transcutaneous pacing is appropriate for symptomatic bradycardia with low heart rate and blood pressure. Digoxin may worsen bradycardia. Monitoring alone is insufficient. Defibrillation is for ventricular arrhythmias.
Question 2 of 5
When teaching a patient about the long-term consequences of rheumatic fever, the nurse should discuss the possibility of
Correct Answer: C
Rationale: Rheumatic fever can damage heart valves, leading to valvular heart disease like stenosis or regurgitation. Right ventricular hypertrophy, superior vena cava syndrome, and pulmonary hypertension are not direct consequences.
Question 3 of 5
A patient admitted with diagnosis of pericarditis develops hypotension, shortness of breath, tachycardia, distended neck veins. Which of the following procedures with the nurse anticipate assisting for this emergent situation?
Correct Answer: B
Rationale: Pericardiocentesis removes excess fluid from the pericardial space in cardiac tamponade, relieving heart compression. Endovascular grafts, echocardiograms, and peritoneal dialysis are not appropriate for this emergency.
Question 4 of 5
Which of the following are risk factors for abdominal aortic aneurysm (AAA)? (Select all that apply.)
Correct Answer: A,B
Rationale: Smoking and family history increase AAA risk by weakening arterial walls and genetic predisposition. High HDL and normal total cholesterol are protective. Diabetes is not a direct risk factor.
Question 5 of 5
A 67-year-old patient will be undergoing a mitral valve replacement for severe mitral valve stenosis. When reviewing the patient's chart, which of these infectious diseases would likely to be present in this patient's history?
Correct Answer: C
Rationale: Rheumatic fever is a known cause of rheumatic heart disease, leading to mitral valve stenosis. Meningitis, Haemophilus influenzae, and varicella are not associated with valvular heart disease.