ATI RN
ATI Med Surg exam 2 III Questions
Extract:
Question 1 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 2 of 5
A nurse is assessing a male client who has advanced peripheral artery disease (PAD). Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: Leg pain at rest, called rest pain, signifies advanced peripheral artery disease due to severe arterial insufficiency and poor oxygen supply to tissues.
Question 3 of 5
A nurse is providing teaching for a client who has a new diagnosis of angina pectoris. Which of the following information should the nurse include about anginal pain?
Correct Answer: B
Rationale: Exertion increases myocardial oxygen demand, while anxiety triggers a sympathetic response, both of which can precipitate anginal pain due to the heart's inability to meet increased oxygen requirements.
Question 4 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.
Question 5 of 5
A nurse in the emergency department is caring for a client who took 3 nitroglycerin tablets sublingually for chest pain. The client reports relief from the chest pain but now he is experiencing a headache. Which of the following statements should the nurse make?
Correct Answer: A
Rationale: Nitroglycerin causes vasodilation, leading to headaches as a common adverse effect. These headaches are due to the increased blood flow and dilation of cerebral blood vessels.