ATI RN
ATI RN NSG 232 Exam Med Surg Questions
Extract:
Question 1 of 5
A nurse is caring for a client admitted with hypertensive emergency. The nurse is aware the treatment goals for the patient include which of the following?
Correct Answer: D
Rationale: Reducing blood pressure by 25% to 30% within the first hour, aiming for up to 50%, is the goal in hypertensive emergency.
Question 2 of 5
A nurse is caring for a client who is complaining of dyspnea, dizziness, palpitations, and rapid heart rate. ECG shows a narrow complex tachy dysrhythmia with a rate of 188, Supraventricular Tachycardia (SVT) The nurse is aware that this rapid arrhythmia is best treated with which of the following medications?
Correct Answer: C
Rationale: Adenosine is the medication of choice for terminating supraventricular tachycardia (SVT) due to its rapid action on the AV node.
Question 3 of 5
A nurse is caring for a client with right sided heart failure. Which of the following symptoms should the nurse include in teaching the client about signs of worsening heart failure? (SELECT ALL THAT APPLY)
Correct Answer: A,B,C,E,F
Rationale: A: Unable to lie flat due to orthopnea. B: Fatigue worsens with heart failure. C: Distended neck veins indicate increased venous pressure. E: Weight gain of 2 pounds in 24 hours indicates fluid retention. F: Worsening edema is a sign of heart failure.
Question 4 of 5
A nurse is caring for a client with a possible acute myocardial infarction (AMI). The electrocardiogram (ECG) shows no ST segment elevations or depression. The nurse is aware that an elevation of which lab result will determine if there has been cardiac injury?
Correct Answer: A
Rationale: Elevated Troponins indicate myocardial injury or infarction due to their specificity for cardiac muscle damage.
Question 5 of 5
A nurse is teaching a client who has a new diagnosis of atrial fibrillation. The nurse should include which of the following in the education?
Correct Answer: A
Rationale: Checking for increased bruising is important because atrial fibrillation can lead to blood clots, and anticoagulants may cause bruising.