ATI RN
ATI Med-Surg Quiz N120 Cardio Gallader Questions
Extract:
Question 1 of 5
A nurse is reviewing the medical history of a client who has a prescription for atenolol 40 mg daily. The nurse knows which of the following findings is a contraindication to the new medication?
Correct Answer: B
Rationale: Atenolol is a beta-blocker, and its use is contraindicated in clients with bronchial asthma or a history of severe bronchospastic disease due to the risk of exacerbating bronchospasm.
Question 2 of 5
A nurse is caring for a client who is developing signs of hemorrhage after 5 days of continuous warfarin use. Which of the following labs should the nurse utilize to determine the medication's current therapeutic level?
Correct Answer: B
Rationale: Prothrombin time (PT) and international normalized ratio (INR) are used to monitor the therapeutic level of warfarin. INR is the preferred method as it standardizes the PT results across different laboratories.
Question 3 of 5
A nurse is providing teaching about the adverse effects of simvastatin to a client who will begin taking the medication daily. Which of the following statements should the nurse include in the education?
Correct Answer: B
Rationale: Rhabdomyolysis, a severe side effect of statin medications like simvastatin, can cause dark urine due to the presence of myoglobin from muscle breakdown.
Therefore, it is important for the client to report any dark urine to their healthcare provider.
Question 4 of 5
A nurse is educating a client about the preparations needed before completing a cardiac stress test. Which of the following statements by the client would indicate the teaching was effective?
Correct Answer: C
Rationale: Beta blockers can affect heart rate and blood pressure, so avoiding them before the test is essential to ensure accurate results.
Question 5 of 5
A nurse is educating a client who has a new prescription for captopril. Which of the following statements by the client demonstrates an understanding of the teaching of this medication?
Correct Answer: A
Rationale: Captopril, an ACE inhibitor, commonly causes a dry cough as a side effect due to the accumulation of bradykinin.