ATI RN
ATI Nurs 201 Med Surg 2 Exam Questions
Extract:
Question 1 of 5
An older adult client with a history of heart failure is admitted to the hospital due to confusion, vision disturbance and anorexia for several days. The client has a pulse rate of 53 bpm, b/p of 116/68, respirations 16 and saturation of 97%. Which of the following medications does the nurse suspect could be causing the client's symptoms?
Correct Answer: A
Rationale: Confusion, vision disturbances, and anorexia are classic signs of digoxin toxicity, especially with bradycardia and a narrow therapeutic index.
Question 2 of 5
The nurse is educating a patient who is newly diagnosed with amyotrophic lateral sclerosis (ALS). Which statement would be the most appropriate for the nurse to include in education?
Correct Answer: B
Rationale: ALS is progressive, leading to paralysis while typically preserving cognitive function, making this the most accurate educational statement.
Question 3 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 4 of 5
A nurse is reviewing the EKG strip of a client who is hypertensive and is complaining of muscle weakness. Which of the following abnormalities on the clients EKG should the nurse interpret as a sign of hyperkalemia?
Correct Answer: A
Rationale: Peaked T waves are a classic sign of hyperkalemia on an EKG. As potassium levels rise, the T waves become taller, more pointed, and narrow, indicating changes in the heart's electrical conduction. This is one of the earliest and most characteristic EKG changes seen with hyperkalemia.
Question 5 of 5
A nurse is assessing a client who has early symptoms of hypoxia. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: Tachycardia is an early compensatory mechanism to increase oxygen delivery in response to hypoxia.