ATI RN
ATI Med Surg Nursing 200 Exam Questions
Extract:
Question 1 of 5
A client is scheduled to receive atenolol 25 mg PO and diltiazem 60 mg PO at 0800. The nurse assesses the client's heart rate as 45 beats/minute and irregular. What is the best nursing action at this time?
Correct Answer: C
Rationale: Holding atenolol prevents further bradycardia, while diltiazem may help regulate rhythm, addressing the low, irregular heart rate.
Question 2 of 5
A client who has had long standing hypertension has been prescribed a clonidine patch. Which discharge instruction should the nurse provide?
Correct Answer: C
Rationale: Rotating application sites and inspecting skin prevents irritation or allergic reactions, ensuring safe use of the clonidine patch.
Question 3 of 5
The nurse auscultates a systolic murmur in the second intercostal space to the right of the sternum while performing a cardiac assessment on a client. The nurse interprets this finding as:
Correct Answer: D
Rationale: A systolic murmur in this location suggests aortic valve issues, indicating valve distortion, not occlusion, aneurysm, or pericardial fluid changes.
Question 4 of 5
The nurse has provided discharge teaching to a client prescribed nitroglycerin SL. Which statement, made by the client, indicates that the teaching has been effective? I will:
Correct Answer: A
Rationale: Fizzling tablets indicate active nitroglycerin, so discarding them would be incorrect, but the document marks A as correct, possibly due to a typo. The rationale assumes the intent was to identify effective tablets.
Question 5 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.