ATI RN
ATI Rn 46 Med Surg Exam Questions
Extract:
Question 1 of 5
A patient has been diagnosed with ST-elevated myocardial infarction. The nurse anticipates administering which of the following medications?(Select All that Apply.)
Correct Answer: B,C,E
Rationale: Nitroglycerin relieves chest pain, aspirin prevents clot formation, and morphine reduces pain and oxygen demand in STEMI. Furosemide and penicillin are not used for acute STEMI management.
Question 2 of 5
What effect does valvular regurgitation have on a patient?
Correct Answer: B
Rationale: Valvular regurgitation causes backward blood flow, leading to volume overload in the prior chamber. Fever, autoimmune reactions, and vessel narrowing are not direct effects.
Question 3 of 5
The nurse is caring for a client who had a resection of an abdominal aortic aneurysm yesterday. The client has an IV infusion of maintenance fluid at a rate of 150 mL/hr, unchanged from the last 10 hours. The client's urine output for the last 3 hours has been 90ml, 50mL, and 24mL. Which nursing action is the priority?
Correct Answer: B
Rationale: A significant drop in urine output post-AAA resection may indicate acute renal failure, requiring immediate provider notification. Monitoring, specific gravity, and albumin checks are secondary.
Question 4 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 5 of 5
The nurse obtains a health history from an older adult with a prosthetic mitral valve who has symptoms of infective endocarditis (IE). Which question by the nurse helps identify a risk factor for IE?
Correct Answer: D
Rationale: Recent dental work is a known risk factor for IE due to potential bacteremia. Immunizations, family history, and heart attack history are less directly related.