ATI RN
ATI Med Surg Quiz 1 Questions
Extract:
Question 1 of 5
A nurse is teaching a group of clients about risk factors for developing peripheral artery disease. Which of the following risk factors should the nurse include in the teaching?
Correct Answer: C
Rationale: A BMI of 35 (obesity) is a significant risk factor for peripheral artery disease (PA
D) because excess body weight contributes to atherosclerosis, hypertension, and diabetes—all of which impair circulation. Rheumatic fever primarily affects the heart valves and is not a risk factor for PAD. Venous thrombosis affects veins, whereas PAD is a disease of arteries. Chronic pulmonary disease affects the lungs but does not directly contribute to PAD development.
Question 2 of 5
The nurse receives a new client from the emergency department with an order for propranolol (Inderal). Upon looking at the client's history, which diagnosis would make the nurse clarify this order?
Correct Answer: B
Rationale: Propranolol is a nonselective beta-blocker that can cause bronchoconstriction in asthma, leading to respiratory distress. It is not contraindicated in kidney failure (though caution is needed), and it is used to treat hypertension and tachycardia.
Question 3 of 5
A nurse is giving a presentation to a community group about preventing atherosclerosis. Which of the following should the nurse include as nonmodifiable risk factors for this disorder? (Select all that apply.)
Correct Answer: B,C
Rationale: Biological sex and age are nonmodifiable risk factors for atherosclerosis. Males have a higher risk at an earlier age, and advancing age increases risk due to vessel changes. Diabetes, physical inactivity, obesity, high blood pressure, and smoking are modifiable risk factors.
Question 4 of 5
A nurse in the emergency department is caring for a client who has an elevated temperature and reports fatigue and muscle aches. Which of the following actions should the nurse take? (Select all that apply.)
Correct Answer: C,D,E
Rationale: C: Chest x-ray and sputum culture are key diagnostics for respiratory infections. D: Airborne isolation is a precaution for suspected tuberculosis. E: Supplemental oxygen addresses potential hypoxemia. A is premature without TB confirmation, B is not indicated without severe distress, and F is irrelevant for this scenario.
Extract:
Medication Administration Record
Vital Signs
1020:
Skin warm and dry. Awake. alert and oriented x3. Transferred to bed from chair. Sat up in chair x3 hours with legs dependent. Reports pain in legs as 4 on a scale of 0 to 10- Dilated veins noted on bilateral lower extremities. Pitting edema 3+ noted to bilateral lower extremities with hyperpigmentation of the skin. Pedal pulses palpable at 2+. Small ulcers noted on bilateral lower legs. Intermittent pneumatic compression pumps intact bilaterally.
A nurse is caring for a client who is experiencing peripheral venous disease.
Question 5 of 5
Which of the following interventions would the nurse include in the plan of care for this client? (Select all that apply)
Correct Answer: A,C,E
Rationale: Elevating legs reduces edema, smoking cessation improves vascular health, and compression stockings enhance venous return. Bed rest, high BMI, and prolonged sitting with legs dependent worsen venous disease.