ATI RN
ATI Nur120 Med Surg Exam Questions
Extract:
Question 1 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 2 of 5
The nurse is caring for a client diagnosed with Buerger's Disease (thromboangiitis obliterans). The nurse will prioritize educating the client about implementing which intervention?
Correct Answer: D
Rationale:
A) Low fat diet: Beneficial but not primary for Buerger's.
B) Blood glucose: Relevant for diabetes, not Buerger's.
C) BP control: Important but secondary.
D) Smoking cessation: Correct, critical to halt disease progression.
Question 3 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 4 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 5 of 5
A nurse is completing the medical reconciliation on an elderly client taking several medications. Which of the following prescribed medications places this client at risk for orthostatic hypotension? (Select all that apply.)
Correct Answer: A,C,D
Rationale:
A) Furosemide: Correct, causes volume depletion.
B) Simvastatin: No effect on BP.
C) Losartan: Correct, causes vasodilation.
D) Nifedipine: Correct, causes vasodilation. E) Clopidogrel: No effect on BP.