ATI RN
ATI Nur120 Med Surg Exam Questions
Extract:
Question 1 of 5
A nurse is providing teaching to a client who has a family history of hypertension. The nurse should inform the client that his blood pressure of 130/82 mm Hg places him in which of the following categories?
Correct Answer: B
Rationale:
A) Within expected range: Incorrect, normal is <120/80 mm H
B) Elevated: Correct, systolic 120-129 mm Hg and diastolic <80 mm H
C) Stage 2 hypertension: Incorrect, requires systolic ≥140 mm Hg or diastolic ≥90 mm H
D) Stage 1 hypertension: Incorrect, requires systolic 130-139 mm Hg and diastolic 80-89 mm Hg.
Question 2 of 5
A nurse is caring for a client who has an elevated potassium level and is on a cardiac monitor. The nurse is aware that hyperkalemia may be associated with changes to the T-wavOn the graphic, point and click on the area of the electrocardiogram (ECG) that represents the T-wave.(Selectable areas, or 'Hot Spots,' can be found by moving your cursor over the artwork until the cursor changes appearance, usually into a hanClick only on the Hot Spot that corresponds to your answer.)
Correct Answer:
Rationale: The T-wave, representing ventricular repolarization, is the rounded positive peak after the QRS complex. Hyperkalemia may cause peaked T-waves, detectable on ECG.
Question 3 of 5
A nurse is teaching a client just diagnosed with mild hypertension. Which of the following information should the nurse include in the teaching?
Correct Answer: A
Rationale:
A) Correct, thiazide diuretics are first-line for mild hypertension.
B) Incorrect, BP control timeline varies.
C) Incorrect, saturated fats should be limited to <10%.
D) Incorrect, alcohol limit is ≤2 drinks/day for men, ≤1 for women.
Question 4 of 5
A nurse is caring for a client brought to the emergency room with acute chest pain. The client is being worked up for possible acute myocardial infarction (MI). The client asks why blood is being drawn for cardiac enzymes. What should the nurse explain to the client regarding why the cardiac enzyme troponin is being collected?
Correct Answer: C
Rationale:
A) Heart structure: Incorrect, requires imagin
B) CHF diagnosis: Incorrect, troponin not specific for CH
C) Heart tissue damage: Correct, troponin indicates myocardial injury.
D) MI location: Incorrect, troponin doesn't specify location.
Question 5 of 5
The nurse is educating the patient about the diagnosis of hypertension. Which statement made by the nurse is most accurate?
Correct Answer: A
Rationale:
A) Correct, hypertension diagnosis requires elevated BP on ≥2 occasions.
B) Incorrect, low BP doesn't diagnose hypertension.
C) Incorrect, only 2 occasions needed, not >3.
D) Incorrect, single reading insufficient for diagnosis.