ATI RN
ATI RN NSG 232 Exam Med Surg Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has deep vein thrombosis and has been on heparin continuous infusion for 5 days. The provider prescribes warfarin PO without discontinuing the heparin. The client asks the nurse why both anticoagulants are necessary. Which of the following statements should the nurse make?
Correct Answer: D
Rationale: Warfarin takes time to reach therapeutic levels, so heparin is continued until warfarin is fully active.
Question 2 of 5
A nurse is caring for a client diagnosed with heart failure (HF) and atrial fibrillation. The client reports feeling of palpitations and shortness of breath. The nurse is aware that clients Atrial Fibrillation (AF) are at risk for which complication?
Correct Answer: D
Rationale: Atrial fibrillation can lead to blood clots in the atria, increasing the risk of embolic stroke.
Question 3 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.
Question 4 of 5
A nurse is caring for a client with right sided heart failure. Which of the following symptoms should the nurse include in teaching the client about signs of worsening heart failure? (SELECT ALL THAT APPLY)
Correct Answer: A,B,C,E,F
Rationale: A: Unable to lie flat due to orthopnea. B: Fatigue worsens with heart failure. C: Distended neck veins indicate increased venous pressure. E: Weight gain of 2 pounds in 24 hours indicates fluid retention. F: Worsening edema is a sign of heart failure.
Question 5 of 5
A nurse is caring for a client diagnosed with infective endocarditis. The nurse is aware that which of the following is the priority assessment finding for this patient?
Correct Answer: B
Rationale: Fever is a hallmark sign of infective endocarditis, indicating infection and requiring close monitoring.