ATI RN
ATI Med Surg Quiz 1 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is being administered spironolactone (Aldactone). Which of the following laboratory values should be monitored due to taking this medication?
Correct Answer: B
Rationale: Spironolactone is a potassium-sparing diuretic that can cause hyperkalemia. Monitoring potassium levels is essential to prevent complications like cardiac arrhythmias. Bicarbonate, troponins, and albumin are not directly affected.
Question 2 of 5
A client who has recently traveled out of the United States comes to the emergency department with fatigue, lethargy, night sweats, and a low-grade fever. What is the nurse's first action?
Correct Answer: C
Rationale: Masking prevents potential TB transmission, a priority in infection control. A, B, and D follow after ensuring safety.
Question 3 of 5
Calculate the heart rate based on this rhythm strip.
Correct Answer: C
Rationale: Using the 6-second rule, count the number of QRS complexes in a 6-second strip and multiply by 10 to get 60 bpm.
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: A
Rationale: Carvedilol is a beta-blocker that lowers heart rate and blood pressure. A heart rate of 49 bpm indicates bradycardia, so the medication should be held and the provider notified. A respiratory rate of 20 is normal, blood pressure of 102/76 is acceptable, and a temperature of 100.3°F is unrelated to carvedilol.
Question 5 of 5
A nurse is completing the medical reconciliation on an elderly client taking several medications. Which of the following prescribed medications places this client at risk for orthostatic hypotension? (Select all that apply.)
Correct Answer: A,B,C
Rationale: Losartan, nifedipine, and furosemide lower blood pressure or fluid volume, increasing orthostatic hypotension risk. Simvastatin and clopidogrel do not directly affect blood pressure.