ATI RN
ATI Nur 221 Med Surg Exam Cardiac Questions
Extract:
Question 1 of 5
A nurse in an emergency department is planning care for a client who is having an acute myocardial infarction (MI). The nurse should plan to administer which of the following medications after the initial acute phase to manage the client's pain and anxiety?
Correct Answer: B
Rationale: Morphine is administered after the initial acute phase to manage pain and anxiety, reducing myocardial oxygen demand and stress. Nitroglycerin, aspirin, and oxygen are used in the acute phase but not primarily for pain and anxiety post-acute phase.
Question 2 of 5
Which of the following is considered a risk factor for COPD?
Correct Answer: C
Rationale: Alpha-1 Antitrypsin (AAT) deficiency is correct. It is a genetic disorder that leads to early-onset emphysema, impairing the lungs' ability to protect against enzymatic damage. Hypertension, male gender, and history of pulmonary embolism are not primary risk factors for COPD.
Question 3 of 5
The client is being discharged with a prescription of prednisone. Which of the following is not a common side effect for this corticosteroid?
Correct Answer: A
Rationale: Weight loss is not a common side effect of prednisone. Weight gain due to fluid retention and increased appetite is typical. Dry mouth, hyperglycemia, and decreased wound healing are common side effects.
Question 4 of 5
A nurse is assessing a client who has obstructive sleep apnea. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Headache is correct. Clients with obstructive sleep apnea often experience morning headaches due to intermittent hypoxia and hypercapnia caused by repeated episodes of airway obstruction during sleep. Hypotension is incorrect. Obstructive sleep apnea is more commonly associated with hypertension rather than hypotension due to the body's stress response to low oxygen levels. Constipation is not a common symptom of obstructive sleep apnea. Gastrointestinal symptoms are not typically associated with this condition. Nausea is not a characteristic finding in obstructive sleep apnea. The primary symptoms involve respiratory and neurological effects due to oxygen deprivation during sleep.
Question 5 of 5
The nurse is providing care to a client with a suspected pulmonary embolism. Which of the following is not a manifestation of a pulmonary embolism?
Correct Answer: D
Rationale: Facial weakness is not a typical sign of pulmonary embolism. Hemoptysis, tachycardia, and even petechiae (in rare cases like fat embolism) can be associated, but facial weakness is more indicative of stroke or Bell's palsy.