ATI RN
ATI Nur120 Med Surg Exam Questions
Extract:
Question 1 of 5
A nurse is assessing client with advanced peripheral arterial disease (PAD). Which of the following findings would the nurse expect?
Correct Answer: A
Rationale:
A) Shiny, hairless extremities: Correct, due to ischemia from reduced blood flow.
B) Warm extremities: Incorrect, PAD causes cool skin.
C) Thin toenails: Possible but not primary findin
D) 3+ pulse: Incorrect, PAD typically shows diminished pulses.
Question 2 of 5
The nurse is caring for a client diagnosed with Buerger's Disease (thromboangiitis obliterans). The nurse will prioritize educating the client about implementing which intervention?
Correct Answer: D
Rationale:
A) Low fat diet: Beneficial but not primary for Buerger's.
B) Blood glucose: Relevant for diabetes, not Buerger's.
C) BP control: Important but secondary.
D) Smoking cessation: Correct, critical to halt disease progression.
Question 3 of 5
A nurse is caring for a client brought to the emergency room with acute chest pain. The client is being worked up for possible acute myocardial infarction (MI). The client asks why blood is being drawn for cardiac enzymes. What should the nurse explain to the client regarding why the cardiac enzyme troponin is being collected?
Correct Answer: C
Rationale:
A) Heart structure: Incorrect, requires imagin
B) CHF diagnosis: Incorrect, troponin not specific for CH
C) Heart tissue damage: Correct, troponin indicates myocardial injury.
D) MI location: Incorrect, troponin doesn't specify location.
Question 4 of 5
The nurse receives a new client from the emergency department with an order for propranolol (Inderal). Upon looking at the client's history. which diagnosis would make the nurse clarify this order?
Correct Answer: D
Rationale:
A) Tachycardia: Appropriate for propranolol.
B) Kidney failure: Not contraindicated, metabolized by liver.
C) Hypertension: Appropriate us
D) Asthma: Correct, beta-blockers can exacerbate asthma.
Question 5 of 5
The nurse is providing a client with teaching regarding a new diagnosis of peripheral venous disease (PVD). Which client statement indicates the client understood the education provided? (Select all that apply)
Correct Answer: A,B,C,D
Rationale:
A) Compression stockings: Correct, improves venous return.
B) Limit standing: Correct, reduces venous stasis.
C) Brownish discoloration: Correct, indicates awareness of complications.
D) Hair loss: Correct, due to reduced blood flow. E) Cholesterol medication: Incorrect, should be taken as prescribed.