ATI RN
ATI Med Surg Nursing 200 Exam Questions
Extract:
Question 1 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 2 of 5
The client with coronary artery disease asks the nurse, "Why do I get this chest pain?" Which would be the most appropriate response?
Correct Answer: C
Rationale: Chest pain in coronary artery disease (angina) results from decreased oxygen supply to the heart muscle due to narrowed coronary arteries. This explanation is accurate and relevant.
Question 3 of 5
The nurse instructs a client diagnosed with hypertension and coronary artery disease who has been given a new prescription for carvedilol 6.25 mg PO bid to:
Correct Answer: B
Rationale: Carvedilol can cause orthostatic hypotension, so slow position changes prevent dizziness or falls.
Question 4 of 5
The nurse is caring for a client who is discharged with a prescription for amlodipine. The client should be instructed to self-monitor for:
Correct Answer: B
Rationale: Amlodipine commonly causes edema due to vasodilation, so monitoring for lower extremity swelling is essential.
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.