ATI Med Surg Woolery Final Exam | Nurselytic

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ATI Med Surg Woolery Final Exam Questions

Extract:

Nurses' Notes
1000:
Client presents with reports of shortness of breath, dizziness, and "feelings of pressure" in jaw, neck, and left arm. Was mowing the lawn when feelings of discomfort began. Pressure has not subsided with rest. Provider updated, orders received.
1010:
Nitroglycerin sublingual tablet administered x2 doses, 5 min apart. Updated provider on diagnostic results.
1025:
Client states relief from discomfort after 2nd nitroglycerin tab, no current shortness of breath, dizziness, or feelings of pressure, continues to deny chest pain.
Provider updated, orders received.
Vital Signs
1000:
Temperature 36.4°C (97.6°F) Heart rate 112/min Respiratory rate 28/min
Blood pressure 146/74 mm Hg SaO2 93% on room air
1015:
Temperature 36.4°C (97,6°F) Heart rate 92/min Respiratory rate 24/min
Blood pressure 126/64 mm Hg
SaO2 96% on oxygen @ 2L/min via nasal cannula

Provider Orders
1005:
12 Lead EKG
Serum cardiac enzymes
Nitroglycerin 0.3 mg sublingual now, may repeat every 5 min for 2 additional doses for continued chest pain
Oxygen at 2 L/minute via nasal cannula for O2 saturation less than 95%
1030:
Schedule cardiac stress test Consult cardiology

Diagnostic Results
1010:
12 Lead EKG: Sinus tachycardia with ST depression Troponin I: 0.01 ng/mL
Troponin T: 0.03 ng/mL


Question 1 of 5

For each of the following findings in the client's medical record, click to specify if they are consistent with unstable angina or a myocardial infarction (MI). Each finding may support more than one disease process.

Options Unstable Angina Myocardial Infarction
Client's response to nitroglycerin therapy (Unstable Angina)
Client's initial report of manifestations (Unstable Angina, Myocardial Infarction)
12 Lead EKG report (Unstable Angina)
Troponin results (Unstable Angina)

Correct Answer: A,B,C,D

Rationale: Nitroglycerin relief and normal troponins support unstable angina; symptoms and EKG findings can indicate both conditions.

Extract:


Question 2 of 5

Correct Answer:

Rationale:

Question 3 of 5

Correct Answer:

Rationale:

Question 4 of 5

Correct Answer:

Rationale:

Question 5 of 5

Correct Answer:

Rationale:

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