ATI RN
ATI Nur 221 Med Surg Exam Cardiac Questions
Extract:
Question 1 of 5
A nurse is giving a presentation at a community center about chronic bronchitis. Which of the following information should the nurse include as effective for preventing this disorder?
Correct Answer: C
Rationale: Smoking cessation is the most effective measure for preventing chronic bronchitis, which is strongly linked to long-term cigarette smoking. Influenza immunization, exercise, and weight maintenance are beneficial but not primary preventive measures.
Question 2 of 5
A client has chronic obstructive pulmonary disease (COPD) and right-sided heart failure. Which statement by the nurse is correct?
Correct Answer: A
Rationale: Eating six small meals a day limits oxygen demand during digestion and prevents bloating, aiding breathing. Excessive fluids, lying down, and protein intake adjustments are not appropriate.
Question 3 of 5
A nurse in a provider's clinic is assessing a client who takes sublingual nitroglycerin for stable angina. The client reports getting a headache each time he takes the medication. Which of the following statements should the nurse make?
Correct Answer: A
Rationale: Try taking a mild analgesic to relieve the headache.' is correct. Nitroglycerin-induced headaches are a common side effect due to vasodilation. Mild analgesics such as acetaminophen can help alleviate the discomfort. Taking only one dose to reduce the risk of a headache is inappropriate. The client should follow the prescribed dosing regimen to manage angina effectively. Skipping doses may increase the risk of angina attacks. Requesting a different medication is not necessary. Nitroglycerin is an effective treatment for stable angina, and headaches typically diminish over time as the body adjusts to the medication. Stating that nothing can be done to relieve the headaches is incorrect. Headaches from nitroglycerin can be managed with mild analgesics or by adjusting the timing of medication administration.
Question 4 of 5
Which of the following is considered a risk factor for COPD?
Correct Answer: C
Rationale: Alpha-1 Antitrypsin (AAT) deficiency is correct. It is a genetic disorder that leads to early-onset emphysema, impairing the lungs' ability to protect against enzymatic damage. Hypertension, male gender, and history of pulmonary embolism are not primary risk factors for COPD.
Question 5 of 5
A nurse is providing teaching to a client who has angina pectoris and a new prescription for nitroglycerin sublingual tablets. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: D
Rationale: Calling 911 if pain persists after taking 3 nitroglycerin tablets 5 minutes apart is correct. Persistent pain suggests a possible myocardial infarction, requiring immediate medical intervention. The other options deviate from the standard protocol for nitroglycerin use.