ATI RN
ATI RN NSG 232 Exam Med Surg Questions
Extract:
Question 1 of 5
A nurse is caring for a client with infective endocarditis with involvement of the tricuspid valve. Which of the following is the appropriate education the nurse should provide to the client prior to discharge.
Correct Answer: C
Rationale: Antibiotics before dental work prevent bacterial spread to the heart in infective endocarditis.
Question 2 of 5
A nurse is caring for a client admitted with hypertensive emergency. The nurse is aware the treatment goals for the patient include which of the following?
Correct Answer: D
Rationale: Reducing blood pressure by 25% to 30% within the first hour, aiming for up to 50%, is the goal in hypertensive emergency.
Question 3 of 5
A nurse is caring for a client who has hypertension and has a potassium level of 6.8 mEq/L. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: A 12-lead ECG is priority to assess for cardiac changes such as peaked T waves, which can indicate hyperkalemia-related arrhythmias.
Question 4 of 5
A nurse is reviewing blood pressure classifications with a group of nurses at an in-service meeting. Which of the following should the nurse include as a risk factor for the development of hypertension?
Correct Answer: A
Rationale: Obstructive sleep apnea is a risk factor for the development of hypertension due to increased sympathetic activity and intermittent hypoxia.
Question 5 of 5
A nurse is assessing a patient with known mitral valve regurgitation. The nurse should expect to hear which of the following heart sounds?
Correct Answer: A
Rationale: Mitral valve regurgitation causes a murmur due to backflow of blood into the left atrium during systole.