ATI RN
ATI n120 Med Surg Quiz Questions
Extract:
Question 1 of 5
A nurse is admitting a client who reports chest pain. The nurse is preparing the client for the cardiac catheterization (coronary angiography). Which of the following actions should the nurse take?
Correct Answer: B,D
Rationale: Asking about food and fluid intake ensures the client is NPO to reduce aspiration risk, and reviewing medications identifies those, like anticoagulants, that may need to be stopped to minimize bleeding risk.
Question 2 of 5
A patient is taking an ACE inhibitor for hypertension. The patient reports a constant, dry, hacking cough. The nurse would expect the provider to change the current treatment to which of the following medications?
Correct Answer: C
Rationale: ARBs are a suitable alternative to ACE inhibitors for hypertension, as they do not cause the dry, hacking cough associated with ACE inhibitors.
Question 3 of 5
The nurse is assessing a client diagnosed with peripheral arterial disease. The client reports leg pain and cramping after walking 3 blocks, which is relieved when the client stops and rests. The nurse documents that the client is experiencing which clinical manifestation?
Correct Answer: B
Rationale: Intermittent claudication is a hallmark symptom of peripheral arterial disease, characterized by leg pain and cramping during activity that is relieved by rest due to reduced blood flow.
Question 4 of 5
The nurse has received the laboratory results for a patient who developed chest pain 4 hours ago and may be having a myocardial infarction. Which of the following laboratory test results are most indicative of myocardial damage?
Correct Answer: A
Rationale: Troponins T and I are the most specific and sensitive markers for myocardial injury, released when heart muscle is damaged, making them the best indicator for myocardial infarction.
Question 5 of 5
The nurse teaches a client at risk for coronary artery disease about necessary lifestyle changes. The nurse determines that the client understands the education if the client makes which statements?
Correct Answer: B,D,E
Rationale: Regular exercise, maintaining a healthy weight, and regular medical check-ups are essential for managing coronary artery disease risk. Smoking, even reduced, and daily consumption of high-fat foods like red meat and cheese increase CAD risk and are not recommended.