ATI RN
ATI RN NSG 232 Exam Med Surg Questions
Extract:
Question 1 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 2 of 5
A nurse is caring for a client with a possible acute myocardial infarction (AMI). The electrocardiogram (ECG) shows no ST segment elevations or depression. The nurse is aware that an elevation of which lab result will determine if there has been cardiac injury?
Correct Answer: A
Rationale: Elevated Troponins indicate myocardial injury or infarction due to their specificity for cardiac muscle damage.
Question 3 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 4 of 5
A nurse is caring for a client who is having an acute myocardial infarction (MI). The nurse is aware that which of the following are part of the assessment of cardiac pain. (SELECT ALL THAT APPLY)
Correct Answer: A,B,C,D,E,F
Rationale: A: Distribution assesses pain spread. B: Onset determines timing. C: Intensity evaluates severity. D: Location identifies pain site. E: Radiation checks for pain spread. F: Alleviated identifies relieving factors.
Question 5 of 5
A nurse is caring for a client who reports shortness of breath and heart palpitations. An ECG confirms the client is experiencing ventricular tachycardia (VT). The nurse notes a carotid pulse with a BP of 70 systolic, the client reports feeling dizzy. The nurse should anticipate the need for which priority action?
Correct Answer: D
Rationale: Synchronized cardioversion is appropriate for unstable VT with a pulse to restore normal rhythm.