ATI RN
ATI Rn 46 Med Surg Exam Questions
Extract:
Question 1 of 5
A patient has been diagnosed with Group A Streptococcal pharyngitis. The nurse recognizes the need for antibiotic therapy to help prevent the development of which serious condition
Correct Answer: C
Rationale: Rheumatic fever is a serious complication of untreated streptococcal pharyngitis, preventable with antibiotics. Rheumatoid arthritis, nausea, vomiting, fatigue, and malaise are not directly related.
Question 2 of 5
What should the nurse teach the patient who has endocarditis about preventing recurrence of the infections?
Correct Answer: C
Rationale: Prophylactic antibiotics before invasive procedures prevent endocarditis recurrence. Continuous antibiotics, aspirin, and antibiotics for exposure are not standard prevention strategies.
Question 3 of 5
A client in sinus bradycardia, with a heart rate of 45 beats per minute and blood pressure of 82/60 mm Hg, reports dizziness. Which intervention should the nurse anticipate will be prescribed?
Correct Answer: D
Rationale: Transcutaneous pacing is appropriate for symptomatic bradycardia with low heart rate and blood pressure. Digoxin may worsen bradycardia. Monitoring alone is insufficient. Defibrillation is for ventricular arrhythmias.
Question 4 of 5
A 67-year-old patient will be undergoing a mitral valve replacement for severe mitral valve stenosis. When reviewing the patient's chart, which of these infectious diseases would likely to be present in this patient's history?
Correct Answer: C
Rationale: Rheumatic fever is a known cause of rheumatic heart disease, leading to mitral valve stenosis. Meningitis, Haemophilus influenzae, and varicella are not associated with valvular heart disease.
Question 5 of 5
The nurse is caring for a patient diagnosed with pericarditis. What serious complication should this patient be monitored for?
Correct Answer: C
Rationale: Cardiac tamponade, from fluid accumulation in the pericardial space, is a life-threatening complication of pericarditis. Left ventricular hypertrophy, increased cardiac output, and hypertension are not direct complications.