ATI RN
ATI Med Surg exam 2 III Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has peripheral arterial disease (PAD). Which of the following symptoms should the nurse expect to find in the early stage of the disease?
Correct Answer: A
Rationale: Intermittent claudication, characterized by muscle pain during exercise relieved by rest, indicates early-stage peripheral arterial disease due to decreased blood flow.
Question 2 of 5
A nurse is teaching a client who has angina about nitroglycerin sublingual tablets. Which of the following statements should the nurse include in the teaching?
Correct Answer: B
Rationale: Nitroglycerin dilates cardiac blood vessels to deliver more oxygen to the heart. This action helps relieve the chest pain associated with angina by increasing blood flow.
Question 3 of 5
A nurse is providing discharge teaching to a client who has peripheral arterial disease (PAD). Which of the following instructions should the nurse include in the teaching?
Correct Answer: D
Rationale: A warm environment helps to prevent vasoconstriction. Cold temperatures can cause the arteries to constrict, reducing blood flow to the extremities. A consistent warm environment supports improved blood circulation.
Extract:
Nurses Notes
Vital Signs
Provider's Prescriptions
0700: Client arrived in the ED complaining of chest discomfort and shortness of breath. Alert and oriented x3. Reports a history of hypertension and diabetes mellitus. Skin is warm and dry. Respirations are 18/min, easy and regular. Oxygen saturation is 91% on room air. Morphine Sulfate 2 mg administered IVP at 0715 for pain management. Client resting in bed, denies pain at this time.
Question 4 of 5
A nurse is caring for a 58-year-old male client in the emergency department (ED) who presents with an irregular pulse and elevated blood pressure. The nurse is planning care for the client. For each potential prescription, indicate whether it is indicated, nonessential, or contraindicated.
| Options | Indicated | Nonessential | Contraindicated |
|---|---|---|---|
| Administer O2 to maintain oxygen saturation greater than 90%. | |||
| Apply continuous ECG monitoring. | |||
| Obtain the client's family history. | |||
| Prepare the client for intubation. |
Correct Answer: A,B
Rationale: Administering O2 to maintain oxygen saturation greater than 90% is indicated to improve tissue oxygenation. Continuous ECG monitoring is crucial for detecting arrhythmias and ischemic changes.
Extract:
Question 5 of 5
A nurse is teaching a newly licensed nurse about evaluating a cardiac rhythm. Which of the following options should the nurse identify as the P wave in the ECG complex?
Correct Answer: A
Rationale: The first upward deflection in an ECG represents the P wave, indicating atrial depolarization. It precedes the QRS complex and corresponds to the electrical activity associated with atrial contraction, initiating the cardiac cycle.