ATI RN
ATI RN NSG 232 Exam Med Surg Questions
Extract:
Question 1 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 2 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 3 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.
Question 4 of 5
A nurse is caring for a client who reports shortness of breath and heart palpitations. An ECG confirms the client is experiencing ventricular tachycardia (VT). The nurse notes a carotid pulse with a BP of 70 systolic, the client reports feeling dizzy. The nurse should anticipate the need for which priority action?
Correct Answer: D
Rationale: Synchronized cardioversion is appropriate for unstable VT with a pulse to restore normal rhythm.
Question 5 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.