ATI RN
ATI RN NSG 232 Exam Med Surg Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is in pulseless ventricular tachycardia (V-Tach). The nurse recognizes the need for which priority intervention?
Correct Answer: D
Rationale: Immediate defibrillation is the priority for pulseless ventricular tachycardia to restore a perfusing rhythm.
Question 2 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.
Question 3 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 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
A nurse is caring for a client with infective endocarditis with involvement of the tricuspid valve. Which of the following is the appropriate education the nurse should provide to the client prior to discharge.
Correct Answer: C
Rationale: Antibiotics before dental work prevent bacterial spread to the heart in infective endocarditis.