ATI RN
ATI Nur120 Med Surg Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has an elevated potassium level and is on a cardiac monitor. The nurse is aware that hyperkalemia may be associated with changes to the T-wavOn the graphic, point and click on the area of the electrocardiogram (ECG) that represents the T-wave.(Selectable areas, or 'Hot Spots,' can be found by moving your cursor over the artwork until the cursor changes appearance, usually into a hanClick only on the Hot Spot that corresponds to your answer.)
Correct Answer:
Rationale: The T-wave, representing ventricular repolarization, is the rounded positive peak after the QRS complex. Hyperkalemia may cause peaked T-waves, detectable on ECG.
Question 2 of 5
The nurse is providing a client with teaching regarding a new diagnosis of peripheral venous disease (PVD). Which client statement indicates the client understood the education provided? (Select all that apply)
Correct Answer: A,B,C,D
Rationale:
A) Compression stockings: Correct, improves venous return.
B) Limit standing: Correct, reduces venous stasis.
C) Brownish discoloration: Correct, indicates awareness of complications.
D) Hair loss: Correct, due to reduced blood flow. E) Cholesterol medication: Incorrect, should be taken as prescribed.
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: C
Rationale:
A) HDL increase: Not enalapril's primary effect.
B) Claudication pain: Not directly improved by enalapril.
C) Decreased BP: Correct, primary therapeutic effect of ACE inhibitors.
D) LDL decrease: Not enalapril's role.
Question 4 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: D
Rationale:
A) BP 102/76: Low but not critical unless symptomati
B) Temp 100.3 F: Not related to carvedilol.
C) RR 10: Concerning but not primary reason to hol
D) HR 49: Correct, bradycardia warrants holding beta-blocker.
Question 5 of 5
A nurse is caring for a client who has an elevated potassium level and is on a cardiac monitor. The nurse is aware that hyperkalemia may be associated with changes to the T-wavOn the graphic, point and click on the area of the electrocardiogram (ECG) that represents the T-wave.(Selectable areas, or 'Hot Spots,' can be found by moving your cursor over the artwork until the cursor changes appearance, usually into a hanClick only on the Hot Spot that corresponds to your answer.)
Correct Answer:
Rationale: The T-wave, representing ventricular repolarization, is the rounded positive peak after the QRS complex. Hyperkalemia may cause peaked T-waves, detectable on ECG.