ATI RN
ATI Med-Surg Quiz N120 Cardio Gallader Questions
Extract:
Question 1 of 5
A nurse is educating a group of students on caring for clients who are receiving antihypertension medications. Which of the following medications should the nurse attribute to causing a rise in creatinine levels?
Correct Answer: A
Rationale: Captopril, an ACE inhibitor, can cause a rise in serum creatinine levels as a result of its effects on renal blood flow and glomerular filtration rate.
Question 2 of 5
A nurse is teaching a client who has cardiac myopathy about ways to prevent episodes of angina. Which of the following instructions should the nurse include in the education?
Correct Answer: D
Rationale: Maintaining a BMI less than 25 is important for managing cardiac myopathy and preventing angina episodes. Excess weight can put strain on the heart and exacerbate heart disease.
Question 3 of 5
A nurse is planning care for a client who takes several cardiac medications. The nurse should recognize which of the following medications places the client at risk for orthostatic hypotension?
Correct Answer: B,C
Rationale: Clonidine and hydralazine are antihypertensive medications that can cause orthostatic hypotension, particularly when changing positions from lying to standing.
Question 4 of 5
A nurse is caring for a client who is postoperative following an appendectomy and is prescribed D, lactated Ringer's at 150 mL/hr by continuous IV infusion for 10 hours. The drop factor of the manual IV tubing is 12 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min?
Correct Answer: 30
Rationale: The nurse should set the manual IV infusion to deliver 30 gtt/min, calculated as follows:
Total volume = 150 mL/hr × 10 hr = 1500 mL.
Total drops = 1500 mL × 12 gtt/mL = 18000 gtt. Infusion rate = 18000 gtt ÷ (10 × 60 min) = 30 gtt/min.
Question 5 of 5
A nurse is providing teaching about the adverse effects of simvastatin to a client who will begin taking the medication daily. Which of the following statements should the nurse include in the education?
Correct Answer: B
Rationale: Rhabdomyolysis, a severe side effect of statin medications like simvastatin, can cause dark urine due to the presence of myoglobin from muscle breakdown.
Therefore, it is important for the client to report any dark urine to their healthcare provider.