ATI RN
ATI RN NSG 232 Exam Med Surg Questions
Extract:
Question 1 of 5
A nurse is providing discharge teaching to a client who has a new diagnosis of heart failure. Which of the following instructions should the nurse include in the teaching?
Correct Answer: D
Rationale: A weight gain of 2 lbs. in 24 hours indicates fluid retention and worsening heart failure, requiring provider notification.
Question 2 of 5
A nurse is caring for a client with infective endocarditis with involvement of the tricuspid valve. Which of the following is the appropriate education the nurse should provide to the client prior to discharge.
Correct Answer: C
Rationale: Antibiotics before dental work prevent bacterial spread to the heart in infective endocarditis.
Question 3 of 5
A nurse is caring for a client with sudden onset of chest pain, the nurse completes the electrocardiogram (ECG). The nurse understands that this client is having what type of acute coronary syndrome?
Correct Answer: C
Rationale: The ECG shows ST-segment elevation, which is characteristic of ST-elevation myocardial infarction (STEMI).
Question 4 of 5
A nurse is reviewing blood pressure classifications with a group of nurses at an in-service meeting. Which of the following should the nurse include as a risk factor for the development of hypertension?
Correct Answer: A
Rationale: Obstructive sleep apnea is a risk factor for the development of hypertension due to increased sympathetic activity and intermittent hypoxia.
Question 5 of 5
A nurse is caring for a client post cardiac catheterization via the right groin site. The nurse is aware that which of the following findings needs to be reported to the interventional cardiologist as soon as it is identified.
Correct Answer: A
Rationale: Swelling at the insertion site and cool extremity may indicate bleeding or hematoma formation, which requires immediate attention.