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ATI RN NSG 232 Exam Med Surg Questions

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Question 1 of 5

A nurse is caring for a client who is having an acute myocardial infarction (MI). The nurse is aware that which of the following are part of the assessment of cardiac pain. (SELECT ALL THAT APPLY)

Correct Answer: A,B,C,D,E,F

Rationale: A: Distribution assesses pain spread. B: Onset determines timing. C: Intensity evaluates severity. D: Location identifies pain site. E: Radiation checks for pain spread. F: Alleviated identifies relieving factors.

Question 2 of 5

A nurse is caring for a client who is complaining of dyspnea, dizziness, palpitations, and rapid heart rate. ECG shows a narrow complex tachy dysrhythmia with a rate of 188, Supraventricular Tachycardia (SVT) The nurse is aware that this rapid arrhythmia is best treated with which of the following medications?

Correct Answer: C

Rationale: Adenosine is the medication of choice for terminating supraventricular tachycardia (SVT) due to its rapid action on the AV node.

Question 3 of 5

A nurse is caring for a client post cardiac catheterization via the right groin site. The nurse is aware that which of the following findings needs to be reported to the interventional cardiologist as soon as it is identified.

Correct Answer: A

Rationale: Swelling at the insertion site and cool extremity may indicate bleeding or hematoma formation, which requires immediate attention.

Question 4 of 5

A nurse is caring for a patient with a history of hypertension. The client reports compliance with the prescribed Thiazide medication but is complaining of generalized weakness and palpitations. The nurse should monitor the client for which potential complications of diuretics.

Correct Answer: B

Rationale: Thiazide diuretics can cause electrolyte imbalances, leading to cardiac dysrhythmias.

Question 5 of 5

The nurse asks a client who is about to have a cardiac catheterization about any allergies. The client states, 'I always get a rash when I eat shellfish.' Which of the following is the priority nursing action?

Correct Answer: A

Rationale: Notifying the provider is priority to ensure precautions are taken, as shellfish allergy may indicate iodine sensitivity.

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A nurse is caring for a client with heart failure (HF) and preparing to give a daily dose of Digoxin (Lanoxin). The nurse understands the rationale for giving this medication for HF is which of the following?
A nurse is caring for a client diagnosed with atrial fibrillation and is receiving heparin. Which of the following findings is the nurse's priority?
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