ATI RN
ATI Med Surg exam 2 III Questions
Extract:
Question 1 of 5
A nurse in a clinic is caring for a client who has a prescription for digoxin. Which of the following statements indicates the client is experiencing digoxin toxicity?
Correct Answer: C
Rationale: Digoxin toxicity often manifests as visual disturbances, such as yellow or blurred vision, due to its effect on the central nervous system.
Question 2 of 5
A nurse in the emergency department is caring for a client who took 3 nitroglycerin tablets sublingually for chest pain. The client reports relief from the chest pain but now he is experiencing a headache. Which of the following statements should the nurse make?
Correct Answer: A
Rationale: Nitroglycerin causes vasodilation, leading to headaches as a common adverse effect. These headaches are due to the increased blood flow and dilation of cerebral blood vessels.
Question 3 of 5
A nurse is giving a presentation about preventing deep-vein thrombosis (DVT). Which of the following should the nurse include as a risk factor for this disorder? (Select all that apply.)
Correct Answer: A,B,C,D
Rationale: Pregnancy, oral contraceptive use, trauma, and immobility are all risk factors for DVT due to increased venous stasis, hypercoagulability, or vessel injury.
Extract:
Medical History
Nurses Notes
Diagnostic Results
Client admitted with a report of pain between shoulder blades and frequent indigestion. States pain comes and goes, with activity exacerbating the pain. Past medical history includes hypertension, metabolic syndrome, and diabetes mellitus. Past surgical history includes wound debridement of the heel 18 months ago. Current medications: Metoprolol 50 mg PO BID, metformin 500 mg PO BID, atorvastatin 20 mg PO daily.
Question 4 of 5
The nurse has completed the client's admission history. The client is most likely suffering from [Dropdown Group 1] as evidenced by the client's [Dropdown Group 2].
| Myocardial infarction |
| Aortic dissection |
| Gastroesophageal reflux disease (GERD) |
| Musculoskeletal strain |
| Elevated troponin levels and ST-segment elevation on ECG |
| Severe pain between shoulder blades and history of hypertension |
| Heartburn and regurgitation after meals |
Correct Answer: C,F
Rationale: Gastroesophageal reflux disease (GER
D) is likely due to the client's report of pain between the shoulder blades, exacerbated by activity, and a history of hypertension, which aligns with GERD symptoms.
Extract:
Question 5 of 5
A nurse is caring for an older adult client who has left-sided heart failure. Which of the following assessment findings should the nurse expect?
Correct Answer: A
Rationale: Frothy sputum indicates pulmonary edema, a common complication of left-sided heart failure, resulting from fluid accumulation in the lungs due to poor ventricular function.