ATI RN
ATI Med Surg Final Exam Nsg 232 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: C
Rationale: OSA increases sympathetic activity through repeated apnea episodes, contributing to elevated blood pressure.
Question 2 of 5
A nurse is educating a client who was diagnosed with left testicular cancer and is scheduled for an orchiectomy. Which statement made by the client would require further teaching?
Correct Answer: D
Rationale: Avoiding showering for a month is incorrect; showering is typically allowed after surgery with precautions.
Extract:
Diagnostic Result
HbA1C 6.2% (less than 7%)
Blood glucose 102 mg/dL (82 to 115 mg/dL)
Hemoglobin 14.2 g/dL (14.2 to 18 g/dL)
Hematocrit 42.6% (42% to 52%)
Total WBC count 6,000/mm3 (5,000 to 10,000/mm3)
HDL 35 mg/dL (greater than 45 mg/dL)
LDL 142 mg/dL (less than 130 mg/dL)
Brain natriuretic peptide (BNP) 352 pg/mL (less than 100 pg/mL)
Chest x-ray: Shows cardiomegaly and bibasilar pleural congestion.
Medication Administration Record
Metformin 850 mg PO q am
Digoxin 0.25 mg PO q am
Carvedilol 25 mg PO bid
Furosemide 40 mg IV bolus once now
Vital Signs
BP 146/98 mm Hg
Temperature 36.8º C (98.2º F)
Pulse rate 106/min
Respirations 24/min
O2 saturation 94% on 2 L/min nasal cannula
Question 3 of 5
A nurse is preparing to care for an 84-year-old male client who is being admitted to a medical unit from a provider's office. The nurse reviews the client's medical records to prepare the client's plan of care. Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.
Correct Answer:
Rationale: Elevated BNP, cardiomegaly, and pleural congestion indicate heart failure. Elevating the bed and a low-sodium diet manage symptoms, while monitoring urinary output and blood pressure assesses treatment efficacy.
Extract:
Question 4 of 5
A nurse is caring for a client who is taking furosemide (Lasix) daily to treat heart failure. The nurse recognizes that the client is at risk for which electrolyte imbalance?
Correct Answer: A
Rationale: Furosemide, a loop diuretic, promotes potassium excretion, leading to hypokalemia.
Question 5 of 5
A nurse is caring for a client who has developed Syndrome of Inappropriate Antidiuretic Hormone Secretion (SIADH) from cancer. Which of the following nursing interventions should be included in the client's plan of care? (Select all that apply.)
Correct Answer: A,B,C,D
Rationale: Low sodium diet, electrolyte monitoring, daily weights, and thirst management address SIADH's water retention and hyponatremia. Increasing IV fluids would worsen the condition.