ATI RN
ATI RN NSG 232 Exam Med Surg Questions
Extract:
Question 1 of 5
A nurse is providing discharge instructions for a client diagnosed with congestive heart failure. Which of the following client statements indicates to the nurse that the teaching was effective?
Correct Answer: B
Rationale: Limiting sodium intake is crucial for managing congestive heart failure, indicating effective teaching.
Question 2 of 5
A nurse is caring for a client who has hypertension and has a potassium level of 6.8 mEq/L. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: A 12-lead ECG is priority to assess for cardiac changes such as peaked T waves, which can indicate hyperkalemia-related arrhythmias.
Question 3 of 5
A nurse is caring for a client who has deep vein thrombosis and has been on heparin continuous infusion for 5 days. The provider prescribes warfarin PO without discontinuing the heparin. The client asks the nurse why both anticoagulants are necessary. Which of the following statements should the nurse make?
Correct Answer: D
Rationale: Warfarin takes time to reach therapeutic levels, so heparin is continued until warfarin is fully active.
Question 4 of 5
A nurse is caring for a client with heart failure who takes furosemide 20mg daily at home and is receiving 40mg of furosemide IV daily in the hospital. The nurse is aware that this patient is at risk for what electrolyte imbalance?
Correct Answer: D
Rationale: Hypokalemia is a decreased level of potassium in the blood and is a major adverse effect of furosemide use due to increased potassium excretion.
Question 5 of 5
A nurse is caring for a client with an acute myocardial infarction (AMI). The nurse is preparing medications for the client and recognizes that which medication will dilate the client's coronary blood vessels?
Correct Answer: B
Rationale: IV Nitroglycerine is a vasodilator that dilates coronary blood vessels, increasing blood flow to the myocardium.