ATI RN
ATI Med Surg exam 2 III Questions
Extract:
Question 1 of 5
A nurse is giving a presentation about preventing deep-vein thrombosis (DVT). Which of the following should the nurse include as a risk factor for this disorder? (Select all that apply.)
Correct Answer: A,B,C,D
Rationale: Pregnancy, oral contraceptive use, trauma, and immobility are all risk factors for DVT due to increased venous stasis, hypercoagulability, or vessel injury.
Question 2 of 5
A nurse in a cardiac care unit is caring for a client with acute right-sided heart failure. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: Ascending dependent edema results from increased venous pressure and fluid retention in the lower extremities, common in right-sided heart failure due to impaired venous return and fluid overload.
Question 3 of 5
A nurse is giving a presentation about preventing deep-vein thrombosis (DVT). Which of the following should the nurse include as a risk factor for this disorder? (Select all that apply.)
Correct Answer: A,B,C,D
Rationale: Pregnancy, oral contraceptive use, trauma, and immobility are all risk factors for DVT due to increased venous stasis, hypercoagulability, or vessel injury.
Question 4 of 5
A nurse is monitoring a client who is on telemetry. Which of the following findings on the ECG strip should the nurse recognize as normal sinus rhythm?
Correct Answer: D
Rationale: The P wave falling before the QRS complex is a key characteristic of normal sinus rhythm, representing the orderly conduction of electrical impulses from atria to ventricles.
Question 5 of 5
A nurse is teaching the partner of a client who had an acute myocardial infarction (MI) about the reason blood was drawn from the client. Which of the following statements should the nurse make regarding cardiac enzyme studies?
Correct Answer: C
Rationale: Elevated cardiac enzyme levels, particularly troponins, indicate myocardial cell injury and help determine the severity of heart tissue damage.