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ATI RN NSG 232 Exam Med Surg Questions

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Question 1 of 5

A nurse is caring for a client in a critical care unit who is 4 hours post operative coronary artery bypass surgery. The nurse performs the reassessment and suspects the client may be developing a pericardial effusion. What assessment findings would the nurse note in this case?

Correct Answer: C

Rationale: Diminished heart sounds are noted due to fluid accumulation around the heart in pericardial effusion.

Question 2 of 5

A nurse is reviewing blood pressure classifications with a group of nurses at an in-service meeting. Which of the following should the nurse include as a risk factor for the development of hypertension?

Correct Answer: A

Rationale: Obstructive sleep apnea is a risk factor for the development of hypertension due to increased sympathetic activity and intermittent hypoxia.

Question 3 of 5

A nurse is reviewing cardiac rhythms and heart blocks for a critical care course. The nurse is aware that which of the following describes first degree heart block?

Correct Answer: B

Rationale: A PR interval greater than 0.20 seconds is characteristic of first-degree heart block.

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 caring for a client post transcatheter aortic valve replacement (TAVR). During the first cardiac rehabilitation session, the client tells the nurse, 'I do not need to be here. I am feeling so much better, I can do this at home'. Which of the following is the appropriate nursing response?

Correct Answer: A

Rationale: This response emphasizes the importance of cardiac rehab for safe recovery and activity resumption.

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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.
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A nurse is caring for a client in a critical care unit who is 4 hours post operative coronary artery bypass surgery. The nurse performs the reassessment and suspects the client may be developing a pericardial effusion. What assessment findings would the nurse note in this case?

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