ATI RN
ATI Nur120 Med Surg Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is taking enalapril (Vasotec). Which of the following outcomes indicates a therapeutic effect of the medication?
Correct Answer: C
Rationale:
A) HDL increase: Not enalapril's primary effect.
B) Claudication pain: Not directly improved by enalapril.
C) Decreased BP: Correct, primary therapeutic effect of ACE inhibitors.
D) LDL decrease: Not enalapril's role.
Question 2 of 5
The nurse is assessing a client diagnosed with peripheral arterial disease (PAD). The client reports leg pain and cramping after walking a few blocks, which is relieved when the client stops and rests. The nurse documents that the client is experiencing which clinical manifestation?
Correct Answer: A
Rationale:
A) Intermittent claudication: Correct, classic PAD symptom, pain with activity relieved by rest.
B) Neuropathy: Presents with tingling/numbness, not activity-related pain.
C) Deep vein thrombosis: Causes swelling/tenderness, not relieved by rest.
D) Venous insufficiency: Involves swelling/skin changes, not activity-related pain.
Question 3 of 5
A nurse is assessing client with advanced peripheral arterial disease (PAD). Which of the following findings would the nurse expect?
Correct Answer: A
Rationale:
A) Shiny, hairless extremities: Correct, due to ischemia from reduced blood flow.
B) Warm extremities: Incorrect, PAD causes cool skin.
C) Thin toenails: Possible but not primary findin
D) 3+ pulse: Incorrect, PAD typically shows diminished pulses.
Question 4 of 5
A nurse is assessing a client who has chronic venous insufficiency. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale:
A) Intermittent claudication: Related to arterial insufficiency, not venous.
B) Decreased pedal pulses: Suggests arterial disease, not typical in venous insufficiency.
C) Bronze/brown discoloration: Correct, due to hemosiderin deposition from venous stasis.
D) Cool skin temperature: Typical of arterial insufficiency, not venous. E) Full screen mode: Irrelevant to clinical findings.
Question 5 of 5
A nurse is caring for a client who has an elevated potassium level and is on a cardiac monitor. The nurse is aware that hyperkalemia may be associated with changes to the T-wavOn the graphic, point and click on the area of the electrocardiogram (ECG) that represents the T-wave.(Selectable areas, or 'Hot Spots,' can be found by moving your cursor over the artwork until the cursor changes appearance, usually into a hanClick only on the Hot Spot that corresponds to your answer.)
Correct Answer:
Rationale: The T-wave, representing ventricular repolarization, is the rounded positive peak after the QRS complex. Hyperkalemia may cause peaked T-waves, detectable on ECG.