Questions 61

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ATI RN Test Bank

ATI Med Surg Final Exam I Questions

Extract:


Question 1 of 5

A client with a recent ST segment elevation MI (STEMI) presents with bilateral lower extremity edema and crackles throughout the lung fields. What is the nurse's priority intervention for this client?

Correct Answer: B

Rationale: Diuretics are the priority to reduce fluid overload, indicated by edema and lung crackles post-STEMI.

Question 2 of 5

A client is admitted to the emergency room with chest pain and a suspected diagnosis of acute myocardial infarction (MI). Which test would the nurse expect the physician to order to make a definitive diagnosis of MI?

Correct Answer: D

Rationale: Troponin levels are the most specific marker for myocardial damage, confirming an MI diagnosis.

Question 3 of 5

After teaching a patient with chronic stable angina about nitroglycerin, the nurse recognizes the need for further teaching when the patient makes which statement?

Correct Answer: D

Rationale: The patient should call 911 after one dose if pain persists, not wait for three doses, indicating a need for further teaching.

Question 4 of 5

A nurse is caring for a client who is receiving heparin 3,800 units subcutaneous daily. Available is heparin 5,000 units/mL. How many mL should the nurse administer? (Round the answer to the nearest tenth.)

Correct Answer: A

Rationale: Calculate: 3,800 units ÷ 5,000 units/mL = 0.76 mL, rounded to 0.8 mL.

Question 5 of 5

To monitor for complications in a patient with type 2 diabetes, which tests will the nurse in the diabetic clinic schedule at least annually? Select all that apply.

Correct Answer: A,B,E

Rationale: Serum creatinine , microalbuminuria , and monofilament testing monitor kidney function and neuropathy, common diabetes complications.

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