ATI RN
ATI Med Surg Final Exam I Questions
Extract:
Question 1 of 5
A nurse is caring for a patient with long history of chronic obstructive pulmonary disease (COPD) who develops cor pulmonale. The nurse should monitor the patient for which expected finding if heart failure is present?
Correct Answer: B
Rationale: Peripheral edema is a common sign of heart failure in cor pulmonale due to venous pressure buildup.
Extract:
Vital Signs
Diagnostic Results
Medical History
0905:
Temperature: 37°C (98.6°F)
Blood pressure: 172/98 mmHg
Heart rate: 120/min
Respiratory rate: 18/min
Oxygen saturation: 88%
Question 2 of 5
Complete the diagram by specifying: The condition the client is most likely experiencing, two actions the nurse should take, two parameters the nurse should monitor.
| Myocardial infarction |
| Chronic stable angina |
| Ischemic stroke |
| Cardiogenic shock |
| Actions to Take Choices A. Administer oxygen via nasal cannula 2 L/min. B. Administer transdermal nitroglycerin. C. Request a prescription for aspirin 325 mg. D. Request a prescription for morphine 6 mg IV bolus. E. Request a prescription for verapamil 100 mg. |
| Parameters to Monitor Choices A. Vital signs. B. WBC count. C. Electrocardiogram (ECG) rhythm. D. Platelet count. |
Correct Answer: A,E,F,G
Rationale: Elevated troponin and ST elevation indicate myocardial infarction . Administer oxygen and request aspirin to improve oxygenation and prevent clot formation. Monitor vital signs and ECG rhythm for stability and ischemia.
Extract:
Question 3 of 5
A client is admitted to the emergency department with a magnesium level of 1.2 mg/dL. The nurse is aware that a likely cause of the value is which of the following:
Correct Answer: A
Rationale: Alcoholism is a common cause of hypomagnesemia due to poor dietary intake, increased renal excretion, and gastrointestinal losses. Dehydration typically elevates magnesium levels, kidney failure causes hypermagnesemia, and excessive magnesium intake leads to hypermagnesemia.
Question 4 of 5
A nurse is teaching a client who has a history of ulcerative colitis and a new diagnosis of anemia. Which of the following manifestations of colitis should the nurse identify as a contributing factor to the development of the anemia?
Correct Answer: C
Rationale: Chronic blood loss from inflamed intestinal lining in ulcerative colitis is a major cause of anemia.
Question 5 of 5
A client is admitted to the emergency room with chest pain and a suspected diagnosis of acute myocardial infarction (MI). Which test would the nurse expect the physician to order to make a definitive diagnosis of MI?
Correct Answer: D
Rationale: Troponin levels are the most specific marker for myocardial damage, confirming an MI diagnosis.