ATI RN
ATI RN Medical Surgical 2023 Questions
Extract:
Question 1 of 5
A nurse is caring for a client in the ICU. The client's ECG monitor tracing reveals sinus bradycardia and ST segment elevation. The client reports shortness of breath and feeling dizzy and faint. Which of the following medications should the nurse administer?
Correct Answer: C
Rationale: Sinus bradycardia causing dizziness and shortness of breath indicates symptomatic hypotension. Atropine increases heart rate. Lidocaine and sotalol treat arrhythmias, and digoxin slows heart rate, worsening bradycardia.
Question 2 of 5
A nurse is administering furosemide 80 mg PO twice daily to a client who has pulmonary edema. Which of the following assessment findings indicates to the nurse that the medication is effective?
Correct Answer: D
Rationale: Furosemide reduces fluid overload in pulmonary edema, leading to weight loss from diuresis. A 1.8 kg loss indicates effective fluid removal, unlike persistent high respiratory rate, adventitious sounds, or elevated blood pressure, which suggest ongoing edema.
Question 3 of 5
A nurse is providing dietary instructions to a client who has cardiovascular disease. The nurse should identify that which of following statements by the client indicates an understanding of the teaching?
Correct Answer: D
Rationale: Canola oil is heart-healthy, low in saturated fats, supporting cardiovascular health. Canned vegetables are high in sodium, whole milk is high in fat, and 8 ounces of meat exceeds recommended portions.
Question 4 of 5
A nurse is planning the discharge of a client who had an ischemic stroke. The nurse should ensure that the client is discharged with which of the following types of pharmacologic therapy?
Correct Answer: D
Rationale: Antithrombotic therapy (e.g., aspirin) prevents recurrent ischemic strokes by reducing clot formation. Diuretics, anticonvulsants, or opioids are not routinely indicated unless specific complications like edema, seizures, or pain are present.
Question 5 of 5
A nurse is caring for a client who is receiving a 0.9% sodium chloride via IV infusion. The client has become dyspnoeic with a blood pressure of 140/100 mm Hg, a fluid intake of 960 mL, and an output of 300 mL in the past 12 hr. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Dyspnea, hypertension, and low urine output suggest fluid overload. Slowing the infusion and notifying the provider prevent worsening symptoms. Changing fluids, giving steroids, or lowering the bed don't address overload directly.