ATI RN
ATI RN NSG 232 Exam Med Surg Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is scheduled for an exercise stress test. Which of the following medications should the nurse hold the morning of the stress test?
Correct Answer: A
Rationale: Tenormin (Atenolol), a beta-blocker, reduces heart rate and may affect stress test results, so it should be held.
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 providing teaching to a client who has a permanent pacemaker and has just had the initial pacemaker check. Which of the following client statements indicates to the nurse that the teaching was effective?
Correct Answer: D
Rationale: Many pacemakers can be checked remotely using telephone or wireless technology, indicating effective teaching.
Question 4 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 5 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.