Questions 22

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ATI n120 Med Surg Quiz Questions

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Question 1 of 5

A nurse is providing discharge teaching for a client who has a new prescription for warfarin. Which of the following instructions should the nurse include in the teaching?

Correct Answer: A

Rationale: Warfarin increases bleeding risk, so avoiding forceful straining or nose blowing helps prevent nasal or internal bleeding.

Question 2 of 5

The patient diagnosed with primary hypertension asks why it is called primary and not secondary. What is the best explanation for the nurse to provide?

Correct Answer: D

Rationale: Primary hypertension has no single identifiable cause, resulting from complex genetic, environmental, and lifestyle factors.

Question 3 of 5

A nurse is preparing to administer 0.9% sodium chloride IV infusion 1-L bag at a rate of 125 mL/hr for a client who has rhabdomyolysis. The nurse should expect the IV pump to infuse over how many hours? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer: 8 hours

Rationale:
Total volume (1000 mL) divided by infusion rate (125 mL/hr) equals 8 hours.

Question 4 of 5

A patient with a history of hypertension treated with a diuretic and an angiotensin-converting enzyme (ACE) inhibitor arrives in the emergency department complaining of headache and blurred vision and has a blood pressure (BP) of 192/108 mmHg. Which question should the nurse ask to follow up on these findings?

Correct Answer: D

Rationale: Poor medication adherence is a common cause of elevated blood pressure despite treatment, likely explaining the severe BP elevation and symptoms.

Question 5 of 5

A patient who has recently started taking simvastatin (Zocor) reports several symptoms to the nurse. Which assessment finding is most important to communicate to the health care provider?

Correct Answer: B

Rationale: Generalized muscle aches may indicate rhabdomyolysis, a serious side effect of simvastatin that can lead to kidney damage, requiring immediate communication to the provider.

Similar Questions

The nurse is assessing a 39-year-old client with a blood pressure (BP) of 120/78 mm Hg at rest, a total cholesterol level of 210 mg/dL, HDL cholesterol of 58 mg/dL, triglycerides of 120 mg/dL, and a fasting blood glucose level of 98 mg/dL. Which risk factor for coronary artery disease requires further follow-up?
The nurse is reviewing laboratory values for a client receiving a continuous heparin infusion. Which of the following laboratory values should the nurse monitor?
A patient is taking an ACE inhibitor for hypertension. The patient reports a constant, dry, hacking cough. The nurse would expect the provider to change the current treatment to which of the following medications?
A client with angina pectoris is experiencing chest pain that radiates down the left arm. The nurse administers a sublingual nitroglycerin tablet to the client. The client's pain is unrelieved, and the nurse determines that the client needs another nitroglycerin tablet. Which cue is most important for the nurse to check before administering the medication?
The nurse teaches a client at risk for coronary artery disease about necessary lifestyle changes. The nurse determines that the client understands the education if the client makes which statements?

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