ATI RN
ATI Nurs 201 Med Surg 2 Exam Questions
Extract:
Question 1 of 5
A nurse working in the cardiac icu is caring for client with suspected left sided heart failure. For which clinical manifestation should the nurse assess for?
Correct Answer: A
Rationale: Left-sided heart failure causes pulmonary congestion, leading to crackles in the lungs due to fluid accumulation.
Question 2 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 3 of 5
A nurse is caring for a client who taking benztropine to treat Parkinson's disease. The nurse should instruct the client to monitor and report which of the following side effects of benztropine?
Correct Answer: C
Rationale: Benztropine's anticholinergic effects can cause urinary retention by inhibiting bladder muscle contraction.
Question 4 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.
Question 5 of 5
A client presents to the emergency department complaining of sudden onset of palpitations and chest pain. After assessment, the nurse notes the client to be diaphoretic, skin is cool to touch, BP is 80/40 mm Hg. Resp 26 and Sats of 89% [see image]. The nurse anticipates an order for which of the following interventions?
Correct Answer: A
Rationale: Synchronized cardioversion is indicated for unstable SVT with hemodynamic instability, prioritizing rapid rhythm stabilization.