ATI RN
ATI n120 Med Surg Quiz Questions
Extract:
Question 1 of 5
A patient who has chest pain is admitted to the emergency department (ED), and all of the following are ordered. Which one should the nurse arrange to be completed first?
Correct Answer: B
Rationale: An ECG is the priority in chest pain to assess for myocardial infarction or other cardiac abnormalities, providing immediate diagnostic information.
Question 2 of 5
The nurse is reviewing laboratory values for a client receiving a continuous heparin infusion. Which of the following laboratory values should the nurse monitor?
Correct Answer: C
Rationale: Activated partial thromboplastin time (aPTT) is used to monitor heparin therapy effectiveness, ensuring a therapeutic dose without excessive bleeding risk.
Question 3 of 5
A nurse is providing discharge teaching for a client who has a new prescription for warfarin. Which of the following instructions should the nurse include in the teaching?
Correct Answer: A
Rationale: Warfarin increases bleeding risk, so avoiding forceful straining or nose blowing helps prevent nasal or internal bleeding.
Question 4 of 5
The home care nurse has given instructions to a client who was recently discharged from the hospital regarding the care of their extremities due to peripheral arterial disease. The nurse determines that there is a need for further teaching if the client makes which statement?
Correct Answer: D
Rationale: Raising legs above heart level reduces arterial blood flow in peripheral arterial disease, worsening symptoms. Proper foot care, including cutting toenails straight, wearing protective shoes, and daily inspections, is appropriate.
Question 5 of 5
A nurse is admitting a client who reports chest pain. The nurse is preparing the client for the cardiac catheterization (coronary angiography). Which of the following actions should the nurse take?
Correct Answer: B,D
Rationale: Asking about food and fluid intake ensures the client is NPO to reduce aspiration risk, and reviewing medications identifies those, like anticoagulants, that may need to be stopped to minimize bleeding risk.