ATI RN
ATI Med Surg Nurs 200 Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client with a heart murmur due to mitral valve disease. Where would the nurse hear the murmur the loudest?
Correct Answer: C
Rationale: A heart murmur due to mitral valve disease is typically heard loudest over the mitral area, located at the fifth intercostal space in the left midclavicular line.
Question 2 of 5
A client diagnosed with peripheral arterial disease has the nursing problem of Impaired Tissue Integrity related to ischemic tissue of the legs and feet. What is an expected outcome to include in the care plan?
Correct Answer: A
Rationale: Understanding appropriate foot care measures is crucial for managing impaired tissue integrity in PAD, helping to prevent further tissue damage and promote healing.
Question 3 of 5
A client asks a nurse, "What is a hemoglobin A1C test?" Which of the following is the most appropriate response?
Correct Answer: A
Rationale: The hemoglobin A1C test evaluates glycemic control over a 3-month period by measuring the glucose attached to hemoglobin, providing an average of blood sugar levels over 2-3 months.
Question 4 of 5
A client has just returned to the surgical unit following a femoral-popliteal bypass of the right leg. In which position should the nurse place the client?
Correct Answer: A
Rationale: After a femoral-popliteal bypass, the client should be placed in a supine position with the right leg extended and flat. This position helps to prevent kinking and occlusion of the graft, which could lead to complications such as graft thrombosis.
Question 5 of 5
The nurse receives an order to administer cefazolin to a client diagnosed with a urinary tract infection. The nurse withholds the medication and notifies the health care provider because the client:
Correct Answer: D
Rationale: A prior anaphylactic reaction to penicillin is a contraindication for administering cefazolin. Cefazolin is a cephalosporin, and there is a risk of cross-reactivity and potential allergic reaction in clients who have a history of severe penicillin allergy.