ATI RN
ATI Med Surg Exam 1 2024 Questions
Extract:
Question 1 of 5
A nurse is preparing to administer medications to a client who has pericarditis. Which of the following medications should the nurse anticipate administering to this client? (Select All That Apply)
Correct Answer: A,C
Rationale: Colchicine and Indomethacin are used to reduce inflammation and pain in pericarditis. Acetaminophen may relieve pain but is not primary, while Amiodarone and Nitroglycerine are not typically used.
Question 2 of 5
A nurse is assessing a client who has peripheral artery disease. Which of the following findings should the nurse recognize as requiring immediate intervention?
Correct Answer: B
Rationale: Pain, pallor, and paresthesia indicate critical limb ischemia, a severe complication of peripheral artery disease requiring immediate intervention to prevent tissue damage and limb loss.
Question 3 of 5
A nurse is planning care for a client who has hypertrophic cardiomyopathy that has not improved after pharmacologic treatment. Which of the following procedures should the nurse anticipate the health care provider ordering?
Correct Answer: B
Rationale: Septal myectomy is used to treat hypertrophic obstructive cardiomyopathy by removing part of the thickened septum to relieve outflow obstruction. Pericardiocentesis, pericardial window, and cardioversion address unrelated conditions like pericardial effusion or arrhythmias.
Question 4 of 5
A nurse is planning care for a client who has suspected cardiac tamponade. Which of the following diagnostic tests should the nurse anticipate the provider to order first?
Correct Answer: C
Rationale: An echocardiogram is the most appropriate initial diagnostic test for suspected cardiac tamponade. It provides real-time imaging of the heart and can detect pericardial effusion, collapse of the right atrium and ventricle during diastole (diastolic collapse), and signs of hemodynamic compromise.
Question 5 of 5
A nurse is providing postoperative care to a client who lost 800 mL of blood during surgery. The client's blood pressure has been steadily decreasing over the past 2 hr. Which of the following categories of shock should the nurse recognize is occurring?
Correct Answer: A
Rationale: Significant blood loss (800 mL) leads to hypovolemic shock, characterized by decreased circulating blood volume and inadequate tissue perfusion.