ATI RN
ATI RN NSG 232 Exam Med Surg Questions
Extract:
Question 1 of 5
A nurse is caring for a client diagnosed with atrial fibrillation and is receiving heparin. Which of the following findings is the nurse's priority?
Correct Answer: A
Rationale: Sudden weakness may indicate a stroke, a critical complication of atrial fibrillation requiring immediate attention.
Question 2 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.
Question 3 of 5
A nurse is caring for a client who has deep vein thrombosis and has been on heparin continuous infusion for 5 days. The provider prescribes warfarin PO without discontinuing the heparin. The client asks the nurse why both anticoagulants are necessary. Which of the following statements should the nurse make?
Correct Answer: D
Rationale: Warfarin takes time to reach therapeutic levels, so heparin is continued until warfarin is fully active.
Question 4 of 5
A client has undergone diagnostic testing and received a diagnosis of sinus bradycardia. Which interventions are most appropriate and should be included in the client's plan of care? (SELECT ALL THAT APPLY)
Correct Answer: A,C,D
Rationale: A: Preventing vagal stimulation avoids worsening bradycardia. C: Falls prevention is crucial due to dizziness risk. D: Neurologic changes assess cerebral perfusion.
Question 5 of 5
A nurse is caring for a patient with a history of hypertension. The client reports compliance with the prescribed Thiazide medication but is complaining of generalized weakness and palpitations. The nurse should monitor the client for which potential complications of diuretics.
Correct Answer: B
Rationale: Thiazide diuretics can cause electrolyte imbalances, leading to cardiac dysrhythmias.