ATI RN
ATI Nur120 Med Surg Exam Questions
Extract:
Question 1 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? Heart Rate: 59 bpm, Rhythm: Regular, Presence of P waves: One P wave for every QRS complex, PR interval: 0.20 seconds, QRS complex duration: 0.10 seconds
Correct Answer: C
Rationale:
A) Ventricular tachycardia: Incorrect, requires >100 bpm.
B) Sinus tachycardia: Incorrect, requires >100 bpm.
C) Sinus bradycardia: Correct, <60 bpm with normal P waves and intervals.
D) Normal sinus rhythm: Incorrect, requires 60-100 bpm.
Question 2 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.
Question 3 of 5
A nurse is completing the medical reconciliation on an elderly client taking several medications. Which of the following prescribed medications places this client at risk for orthostatic hypotension? (Select all that apply.)
Correct Answer: A,C,D
Rationale:
A) Furosemide: Correct, causes volume depletion.
B) Simvastatin: No effect on BP.
C) Losartan: Correct, causes vasodilation.
D) Nifedipine: Correct, causes vasodilation. E) Clopidogrel: No effect on BP.
Question 4 of 5
A nurse is giving a presentation to a community group about preventing atherosclerosis. Which of the following should the nurse include as a modifiable risk factor for this disorder? (Select all that apply).
Correct Answer: B,C,E,G
Rationale:
A) Family history: Non-modifiable risk factor; cannot change genetics.
B) High blood pressure: Modifiable through lifestyle and medication, reducing atherosclerosis risk.
C) Obesity: Modifiable via diet and exercise, improving cardiovascular health.
D) Age: Non-modifiable, risk increases with agE) Lack of physical activity: Modifiable, regular exercise reduces risk. F) Gender: Non-modifiable, influences risk differently. G) Smoking: Modifiable, quitting significantly lowers risk.
Question 5 of 5
The nurse is assessing a client diagnosed with peripheral arterial disease (PAD). The client reports leg pain and cramping after walking a few blocks, which is relieved when the client stops and rests. The nurse documents that the client is experiencing which clinical manifestation?
Correct Answer: A
Rationale:
A) Intermittent claudication: Correct, classic PAD symptom, pain with activity relieved by rest.
B) Neuropathy: Presents with tingling/numbness, not activity-related pain.
C) Deep vein thrombosis: Causes swelling/tenderness, not relieved by rest.
D) Venous insufficiency: Involves swelling/skin changes, not activity-related pain.