ATI RN
ATI Nur120 Med Surg Exam Questions
Extract:
Question 1 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 2 of 5
A nurse is caring for a client who reports an area of redness, warmth, tenderness and pain in the right calThe nurse anticipates which of the following orders when notifying the provider of this finding?
Correct Answer: C
Rationale:
A) Cold therapy: Inappropriate for suspected DVT.
B) Homan's sign: Unreliable for DVT diagnosis.
C) Venous duplex ultrasound: Correct, gold standard for DVT.
D) Impedance plethysmography: Less common than ultrasound.
Question 3 of 5
A nurse is caring for a client who has an elevated potassium level and is on a cardiac monitor. The nurse is aware that hyperkalemia may be associated with changes to the T-wavOn the graphic, point and click on the area of the electrocardiogram (ECG) that represents the T-wave.(Selectable areas, or 'Hot Spots,' can be found by moving your cursor over the artwork until the cursor changes appearance, usually into a hanClick only on the Hot Spot that corresponds to your answer.)
Correct Answer:
Rationale: The T-wave, representing ventricular repolarization, is the rounded positive peak after the QRS complex. Hyperkalemia may cause peaked T-waves, detectable on ECG.
Question 4 of 5
A nurse is teaching a client just diagnosed with mild hypertension. Which of the following information should the nurse include in the teaching?
Correct Answer: A
Rationale:
A) Correct, thiazide diuretics are first-line for mild hypertension.
B) Incorrect, BP control timeline varies.
C) Incorrect, saturated fats should be limited to <10%.
D) Incorrect, alcohol limit is ≤2 drinks/day for men, ≤1 for women.
Question 5 of 5
A nurse is preparing to administer hydrochlorothiazide 25 mg PO daily to a client. Available is hydrochlorothiazide 50 mg/5 mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 2.5 mL
Rationale: Desired dose (25 mg) ÷ Available dose (50 mg/5 mL) = 2.5 mL.