ATI RN
ATI Med Surg Quiz 1 Questions
Extract:
Question 1 of 5
A nurse is caring for a client due for their dose of carvedilol (Coreg). The nurse completes vital signs prior to administration of the medication. Which vital sign would be an indication to hold the dose scheduled and notify the healthcare provider?
Correct Answer: A
Rationale: Carvedilol is a beta-blocker that lowers heart rate and blood pressure. A heart rate of 49 bpm indicates bradycardia, so the medication should be held and the provider notified. A respiratory rate of 20 is normal, blood pressure of 102/76 is acceptable, and a temperature of 100.3°F is unrelated to carvedilol.
Question 2 of 5
The nurse is caring for a client diagnosed with Raynaud's phenomena. The nurse will prioritize educating the client about implementing which intervention?
Correct Answer: A
Rationale: Avoiding cold exposure is critical because cold can trigger vasospasms of small arteries in the fingers and toes, leading to pain, pallor, cyanosis, and numbness. Stress is a major trigger for Raynaud's episodes, loose warm gloves are recommended, and caffeine is a vasoconstrictor that can worsen symptoms.
Question 3 of 5
A nurse is caring for a client who is taking enalapril (Vasotec). Which of the following outcomes indicates a therapeutic effect of the medication?
Correct Answer: D
Rationale: Enalapril, an ACE inhibitor, lowers blood pressure by preventing vasoconstriction and reducing fluid retention. It does not directly treat claudication or affect cholesterol levels.
Question 4 of 5
A nurse is preparing to administer cefazolin IVPB over 20 min. Available is cefazolin 1 g in 100 mL of dextrose 5% in water (DSW). The drop factor of the manual IV tubing is 15gtt/mL. The nurse should set the IV infusion to deliver how many gtt/min? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: A
Rationale: Calculate: (100 mL ÷ 20 min) × 15 gtt/mL = 75 gtt/min. This ensures accurate delivery of the antibiotic over the prescribed time.
Question 5 of 5
A nurse is caring for a client in a cardiac unit. Using the five criteria for ECG analysis information, the nurse interprets the client's ECG as which of the following rhythm interpretations?
Correct Answer: D
Rationale: A heart rate of 102 bpm indicates tachycardia. Regular rhythm, P waves present, PR interval 0.20 sec, and QRS 0.10 sec indicate normal sinus conduction, making it sinus tachycardia.