ATI RN
ATI Nurs 201 Med Surg 2 Exam Questions
Extract:
Question 1 of 5
A nurse is teaching a client who has angina pectoris about starting therapy with nitroglycerin tablets. The nurse should include which of the following instructions regarding how to take the medication?
Correct Answer: C
Rationale: Taking nitroglycerin at the first sign of chest pain ensures rapid relief by dilating coronary arteries.
Question 2 of 5
A client with COPD exacerbation has been ordered oral prednisone to be tapered over two weeks. Which of the following side effects does the nurse recognize could occur during prednisone therapy? [Select all that apply.]
Correct Answer: A,C,D
Rationale:
A) Prednisone can increase blood glucose levels, causing hyperglycemia.
C) Fluid retention is common due to sodium reabsorption.
D) Gastrointestinal distress, like gastritis, is a frequent side effect.
Question 3 of 5
A client with history of myasthenia gravis is experiencing prolonged periods of weakness and difficulty breathing. The provider orders an edrophonium [Tensilon] test. Once the dose is administered, the client becomes weaker. The nurse interprets this test result as:
Correct Answer: D
Rationale: Worsening weakness after edrophonium suggests a cholinergic crisis, indicating excessive acetylcholinesterase inhibition from overmedication.
Question 4 of 5
The nurse is notified by the telemetry monitor tech that the client has been persistently in the following rhythm [see image). The client has a exhibiting the following cardiac rhythm? pulse of 130 bpm, B/P of 86/44 mm Hg, respirations of 24 with a saturation of 90%. Which of the following is a priority intervention for a client exhibiting the following cardiac rhythm?
Correct Answer: B
Rationale: The priority intervention for a client exhibiting this cardiac rhythm with accompanying signs of hemodynamic instability (low blood pressure, tachycardia, respiratory distress) is synchronized cardioversion. This is especially the case if the rhythm is atrial fibrillation, atrial flutter, or supraventricular tachycardia (SVT), which can be life-threatening if not treated promptly. Synchronized cardioversion is indicated when the patient is symptomatic and hemodynamically unstable.
Question 5 of 5
A nurse is reviewing the serum laboratory findings for a client who has heart failure and is prescribed furosemide. Which of the following findings should the nurse report to the provider?
Correct Answer: D
Rationale: Hypokalemia (2.9 mEq/L) from furosemide can cause arrhythmias, requiring immediate reporting for potassium supplementation.