Questions 40

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ATI RN NSG 232 Exam Med Surg Questions

Extract:


Question 1 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.

Question 2 of 5

A nurse is caring for a client who is scheduled for an exercise stress test. Which of the following medications should the nurse hold the morning of the stress test?

Correct Answer: A

Rationale: Tenormin (Atenolol), a beta-blocker, reduces heart rate and may affect stress test results, so it should be held.

Question 3 of 5

A nurse is caring for a heart failure client with a history of dietary non compliance. The nurse suspects the client has fluid volume overload. Which of the following findings should the nurse expect? (SELECT ALL THAT APPLY)

Correct Answer: A,B,D

Rationale: A: Fluid overload increases blood pressure. B: Increased heart rate compensates for fluid overload. D: Increased respiratory rate compensates for reduced oxygenation.

Question 4 of 5

A nurse is caring for a client who has hypertension and has a potassium level of 6.8 mEq/L. Which of the following actions should the nurse take?

Correct Answer: C

Rationale: A 12-lead ECG is priority to assess for cardiac changes such as peaked T waves, which can indicate hyperkalemia-related arrhythmias.

Question 5 of 5

A nurse is caring for a client who reports shortness of breath and heart palpitations. An ECG confirms the client is experiencing ventricular tachycardia (VT). The nurse notes a carotid pulse with a BP of 70 systolic, the client reports feeling dizzy. The nurse should anticipate the need for which priority action?

Correct Answer: D

Rationale: Synchronized cardioversion is appropriate for unstable VT with a pulse to restore normal rhythm.

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