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ATI RN NSG 232 Exam Med Surg Questions

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Question 1 of 5

A nurse is caring for a client with right sided heart failure. Which of the following symptoms should the nurse include in teaching the client about signs of worsening heart failure? (SELECT ALL THAT APPLY)

Correct Answer: A,B,C,E,F

Rationale: A: Unable to lie flat due to orthopnea. B: Fatigue worsens with heart failure. C: Distended neck veins indicate increased venous pressure. E: Weight gain of 2 pounds in 24 hours indicates fluid retention. F: Worsening edema is a sign of heart failure.

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 with an acute myocardial infarction (AMI). The nurse is preparing medications for the client and recognizes that which medication will dilate the client's coronary blood vessels?

Correct Answer: B

Rationale: IV Nitroglycerine is a vasodilator that dilates coronary blood vessels, increasing blood flow to the myocardium.

Question 4 of 5

A nurse is teaching a client who has a new diagnosis of atrial fibrillation. The nurse should include which of the following in the education?

Correct Answer: A

Rationale: Checking for increased bruising is important because atrial fibrillation can lead to blood clots, and anticoagulants may cause bruising.

Question 5 of 5

A nurse is caring for a client diagnosed with atrial fibrillation and is receiving heparin. Which of the following findings is the nurse's priority?

Correct Answer: A

Rationale: Sudden weakness may indicate a stroke, a critical complication of atrial fibrillation requiring immediate attention.

Similar Questions

A nurse is caring for a client with chest pain who suddenly becomes unresponsive. The client is pulseless, and apneic. The code team places the client on the monitor which indicates ventricular fibrillation, what is the next priority action?
A nurse is caring for a patient with a history of hypertension. The client reports compliance with the prescribed Thiazide medication but is complaining of generalized weakness and palpitations. The nurse should monitor the client for which potential complications of diuretics.
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?
A nurse is caring for a client in a critical care unit who is 4 hours post operative coronary artery bypass surgery. The nurse performs the reassessment and suspects the client may be developing a pericardial effusion. What assessment findings would the nurse note in this case?
A nurse is caring for a client post transcatheter aortic valve replacement (TAVR). During the first cardiac rehabilitation session, the client tells the nurse, 'I do not need to be here. I am feeling so much better, I can do this at home'. Which of the following is the appropriate nursing response?

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