ATI RN
ATI RN NSG 232 Exam Med Surg Questions
Extract:
Question 1 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 2 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 3 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 4 of 5
A nurse is providing discharge teaching to a client who has a new diagnosis of heart failure. Which of the following instructions should the nurse include in the teaching?
Correct Answer: D
Rationale: A weight gain of 2 lbs. in 24 hours indicates fluid retention and worsening heart failure, requiring provider notification.
Question 5 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.