ATI RN
ATI Nur 221 Med Surg Exam Cardiac Questions
Extract:
Question 1 of 5
A nurse is teaching a client who has emphysema about self-management strategies. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: B
Rationale: Pursed-lip breathing slows exhalation, preventing airway collapse and improving oxygenation. High-calorie diets, abdominal breathing in prone position, and avoiding flu shots are not optimal strategies.
Question 2 of 5
The nurse is to administer heparin to a client who weighs 90 pounds. Heparin is ordered as 10,000 units/100mL. The nurse needs to administer a bolus of 40units/kg. How many units would the nurse administer? (Round to the nearest tenth)
Correct Answer: C
Rationale: The correct answer is 1636.4 units. Convert 90 pounds to kilograms (90 / 2.2 = 40.91 kg). Calculate the dose: 40.91 kg × 40 units/kg = 1636.4 units. This matches the provided correct answer, so option C (1636.4 units) is correct.
Question 3 of 5
The nurse recognizes which of the following as a risk factor for obstructive sleep apnea?
Correct Answer: C
Rationale: Obesity is correct. Excess weight, particularly around the neck, increases the risk of airway obstruction during sleep, making obesity a major risk factor for obstructive sleep apnea. Deep vein thrombosis is not a known risk factor. Being female is incorrect as obstructive sleep apnea is more common in males. Atherosclerosis is not a direct risk factor, though untreated sleep apnea can contribute to cardiovascular issues.
Question 4 of 5
The client is being discharged with a prescription of prednisone. Which of the following is not a common side effect for this corticosteroid?
Correct Answer: A
Rationale: Weight loss is not a common side effect of prednisone. Instead, prednisone often causes weight gain due to fluid retention and increased appetite. Dry mouth, hyperglycemia, and decreased wound healing are known side effects.
Question 5 of 5
The nurse is educating a client about the treatment options for a pulmonary embolism. Which of the following statements would require further teaching?
Correct Answer: C
Rationale: The purpose of the Inferior Vena Cava (IV
C) filter is to trap emboli from deep vein thrombosis (DVT) before they reach the lungs, not to prevent DVT formation. This statement is incorrect and requires further teaching. The other statements about Warfarin, Heparin, and embolectomy are accurate.