ATI RN
ATI Nur120 Med Surg Exam Questions
Extract:
Question 1 of 5
A nurse is completing the medical reconciliation on an elderly client taking several medications. Which of the following prescribed medications places this client at risk for orthostatic hypotension? (Select all that apply.)
Correct Answer: A,C,D
Rationale:
A) Furosemide: Correct, causes volume depletion.
B) Simvastatin: No effect on BP.
C) Losartan: Correct, causes vasodilation.
D) Nifedipine: Correct, causes vasodilation. E) Clopidogrel: No effect on BP.
Question 2 of 5
The nurse is providing a client with teaching regarding a new diagnosis of peripheral venous disease (PVD). Which client statement indicates the client understood the education provided? (Select all that apply)
Correct Answer: A,B,C,D
Rationale:
A) Compression stockings: Correct, improves venous return.
B) Limit standing: Correct, reduces venous stasis.
C) Brownish discoloration: Correct, indicates awareness of complications.
D) Hair loss: Correct, due to reduced blood flow. E) Cholesterol medication: Incorrect, should be taken as prescribed.
Question 3 of 5
A nurse is caring for a client who is postoperative and is at risk for developing venous thromboembolism (VTE). The nurse should instruct the client to avoid which of the following unsafe actions?
Correct Answer: C
Rationale:
A) Ambulation: Encouraged to prevent VT
B) Ankle flexion: Promotes circulation, saf
C) Massaging legs: Correct, risks dislodging thrombus.
D) Elevating feet: Safe, promotes venous return.
Question 4 of 5
A nurse is providing teaching to a client who has a family history of hypertension. The nurse should inform the client that his blood pressure of 130/82 mm Hg places him in which of the following categories?
Correct Answer: B
Rationale:
A) Within expected range: Incorrect, normal is <120/80 mm H
B) Elevated: Correct, systolic 120-129 mm Hg and diastolic <80 mm H
C) Stage 2 hypertension: Incorrect, requires systolic ≥140 mm Hg or diastolic ≥90 mm H
D) Stage 1 hypertension: Incorrect, requires systolic 130-139 mm Hg and diastolic 80-89 mm Hg.
Question 5 of 5
A nurse is caring for a client in a cardiac unit. Using the five criteria for ECG analysis information, the nurse interprets the client's ECG as which of the following rhythm interpretations? Heart Rate: 59 bpm, Rhythm: Regular, Presence of P waves: One P wave for every QRS complex, PR interval: 0.20 seconds, QRS complex duration: 0.10 seconds
Correct Answer: C
Rationale:
A) Ventricular tachycardia: Incorrect, requires >100 bpm.
B) Sinus tachycardia: Incorrect, requires >100 bpm.
C) Sinus bradycardia: Correct, <60 bpm with normal P waves and intervals.
D) Normal sinus rhythm: Incorrect, requires 60-100 bpm.