ATI RN
ATI RN NSG 232 Exam Med Surg Questions
Extract:
Question 1 of 5
A nurse is caring for a client with a possible acute myocardial infarction (AMI). The electrocardiogram (ECG) shows no ST segment elevations or depression. The nurse is aware that an elevation of which lab result will determine if there has been cardiac injury?
Correct Answer: A
Rationale: Elevated Troponins indicate myocardial injury or infarction due to their specificity for cardiac muscle damage.
Question 2 of 5
A nurse is providing discharge teaching to a client who has a new diagnosis of heart failure. Which of the following instructions should the nurse include in the teaching?
Correct Answer: D
Rationale: A weight gain of 2 lbs. in 24 hours indicates fluid retention and worsening heart failure, requiring provider notification.
Question 3 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 4 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 5 of 5
A nurse is caring for a client who has deep vein thrombosis and has been on heparin continuous infusion for 5 days. The provider prescribes warfarin PO without discontinuing the heparin. The client asks the nurse why both anticoagulants are necessary. Which of the following statements should the nurse make?
Correct Answer: D
Rationale: Warfarin takes time to reach therapeutic levels, so heparin is continued until warfarin is fully active.