ATI RN
ATI Med Surg exam 2 III 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 124/85 mm Hg places him in which of the following categories?
Correct Answer: B
Rationale: Blood pressure of 124/85 mm Hg falls within the elevated (prehypertension) category, defined as systolic 120-129 mm Hg and diastolic less than 80 mm Hg.
Extract:
Medical History
Nurses Notes
Diagnostic Results
Client admitted with a report of pain between shoulder blades and frequent indigestion. States pain comes and goes, with activity exacerbating the pain. Past medical history includes hypertension, metabolic syndrome, and diabetes mellitus. Past surgical history includes wound debridement of the heel 18 months ago. Current medications: Metoprolol 50 mg PO BID, metformin 500 mg PO BID, atorvastatin 20 mg PO daily.
Question 2 of 5
The nurse has completed the client's admission history. The client is most likely suffering from [Dropdown Group 1] as evidenced by the client's [Dropdown Group 2].
| Myocardial infarction |
| Aortic dissection |
| Gastroesophageal reflux disease (GERD) |
| Musculoskeletal strain |
| Elevated troponin levels and ST-segment elevation on ECG |
| Severe pain between shoulder blades and history of hypertension |
| Heartburn and regurgitation after meals |
Correct Answer: C,F
Rationale: Gastroesophageal reflux disease (GER
D) is likely due to the client's report of pain between the shoulder blades, exacerbated by activity, and a history of hypertension, which aligns with GERD symptoms.
Extract:
Question 3 of 5
A nurse in the emergency department is caring for a client who took 3 nitroglycerin tablets sublingually for chest pain. The client reports relief from the chest pain but now he is experiencing a headache. Which of the following statements should the nurse make?
Correct Answer: A
Rationale: Nitroglycerin causes vasodilation, leading to headaches as a common adverse effect. These headaches are due to the increased blood flow and dilation of cerebral blood vessels.
Question 4 of 5
A nurse is teaching a newly licensed nurse about evaluating a cardiac rhythm. Which of the following options should the nurse identify as the P wave in the ECG complex?
Correct Answer: A
Rationale: The first upward deflection in an ECG represents the P wave, indicating atrial depolarization. It precedes the QRS complex and corresponds to the electrical activity associated with atrial contraction, initiating the cardiac cycle.
Question 5 of 5
A nurse is admitting a client who has acute heart failure following a myocardial infarction (MI). The nurse recognizes that which of the following prescriptions by the provider requires clarification?
Correct Answer: A
Rationale: Administering 0.9% normal saline IV at 50 mL/hr continuously in acute heart failure can exacerbate fluid overload, worsening symptoms like pulmonary edema.