ATI RN
ATI Med Surg Nursing 200 Exam Questions
Extract:
Question 1 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 2 of 5
Which data indicates to the nurse that the client's current dose of simvastatin has been effective?
Correct Answer: D
Rationale: An LDL level of 90 mg/dL (optimal <100 mg/dL) indicates simvastatin effectively reduces 'bad' cholesterol, lowering cardiovascular risk.
Question 3 of 5
A client who has chronic stable angina is being discharged. Which statement by the client indicates an understanding of the discharge teaching?
Correct Answer: D
Rationale: Avoiding strenuous activities like shoveling snow prevents angina triggers, indicating understanding of lifestyle modifications to manage chronic stable angina.
Question 4 of 5
The nurse administers losartan 50 mg PO to a client. One hour after administration, the client calls the nurse and complains of tingling of the lips. The nurse notes that the client's lips are edematous and recognizes that the client is experiencing anaphylaxis and notifies the healthcare provider. The client requires supplemental oxygen and a fluid bolus. Which statement is true regarding this situation?
Correct Answer: A
Rationale: Tingling and edema of the lips indicate anaphylaxis, a severe allergic reaction to losartan, requiring immediate intervention.
Question 5 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.