ATI RN
ATI RN NSG 232 Exam Med Surg Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is receiving intravenous heparin therapy for deep vein thrombosis. The nurse evaluates for side effects of this drug by observing for:
Correct Answer: A
Rationale: Petechiae indicate potential bleeding or thrombocytopenia, a side effect of heparin therapy.
Question 2 of 5
A nurse is providing discharge instructions for a client diagnosed with congestive heart failure. Which of the following client statements indicates to the nurse that the teaching was effective?
Correct Answer: B
Rationale: Limiting sodium intake is crucial for managing congestive heart failure, indicating effective teaching.
Question 3 of 5
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?
Correct Answer: B
Rationale: Digoxin (Lanoxin) is a positive inotropic agent, increasing the force of cardiac contractions to improve cardiac output.
Question 4 of 5
A nurse is caring for a client in a critical care unit who is 4 hours post operative coronary artery bypass surgery. The nurse performs the reassessment and suspects the client may be developing a pericardial effusion. What assessment findings would the nurse note in this case?
Correct Answer: C
Rationale: Diminished heart sounds are noted due to fluid accumulation around the heart in pericardial effusion.
Question 5 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.