ATI RN
ATI n120 Med Surg Quiz Questions
Extract:
Question 1 of 5
A client with angina pectoris is experiencing chest pain that radiates down the left arm. The nurse administers a sublingual nitroglycerin tablet to the client. The client's pain is unrelieved, and the nurse determines that the client needs another nitroglycerin tablet. Which cue is most important for the nurse to check before administering the medication?
Correct Answer: C
Rationale: Nitroglycerin, a vasodilator, can lower blood pressure, so checking blood pressure before administering another dose is critical to avoid complications like hypotension.
Question 2 of 5
A patient who has chest pain is admitted to the emergency department (ED), and all of the following are ordered. Which one should the nurse arrange to be completed first?
Correct Answer: B
Rationale: An ECG is the priority in chest pain to assess for myocardial infarction or other cardiac abnormalities, providing immediate diagnostic information.
Question 3 of 5
A patient with a history of hypertension treated with a diuretic and an angiotensin-converting enzyme (ACE) inhibitor arrives in the emergency department complaining of headache and blurred vision and has a blood pressure (BP) of 192/108 mmHg. Which question should the nurse ask to follow up on these findings?
Correct Answer: D
Rationale: Poor medication adherence is a common cause of elevated blood pressure despite treatment, likely explaining the severe BP elevation and symptoms.
Question 4 of 5
A nurse is preparing a client who is scheduled for a transesophageal echocardiogram (TEE) the following day. Which of the following instructions should the nurse include about the test?
Correct Answer: D
Rationale: Sedation is used during a transesophageal echocardiogram to help patients tolerate the procedure, which involves passing a probe down the esophagus.
Question 5 of 5
A nurse at a provider's office receives a phone call from a client who reports nausea and unrelieved chest pain after taking a nitroglycerin tablet 5 min ago. Which of the following is an appropriate response by the nurse?
Correct Answer: C
Rationale: Persistent chest pain after nitroglycerin may indicate a myocardial infarction, requiring immediate emergency care by calling 911.