Questions 32

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ATI RN Test Bank

ATI Med Surg exam 2 III Questions

Extract:


Question 1 of 5

Review the EKG shown below, which displays rapid, erratic electrical impulses causing ineffective quivering instead of coordinated contraction. What should be the nurse's initial intervention?

Correct Answer: B

Rationale: Initiating CPR and preparing for defibrillation are crucial for ventricular fibrillation, a life-threatening arrhythmia requiring immediate intervention.

Question 2 of 5

A nurse is caring for a client who has peripheral arterial disease (PAD). Which of the following symptoms should the nurse expect to find in the early stage of the disease?

Correct Answer: A

Rationale: Intermittent claudication, characterized by muscle pain during exercise relieved by rest, indicates early-stage peripheral arterial disease due to decreased blood flow.

Question 3 of 5

A nurse in the emergency department is caring for a client who took 3 nitroglycerin tablets sublingually for chest pain. The client reports relief from the chest pain but now he is experiencing a headache. Which of the following statements should the nurse make?

Correct Answer: A

Rationale: Nitroglycerin causes vasodilation, leading to headaches as a common adverse effect. These headaches are due to the increased blood flow and dilation of cerebral blood vessels.

Question 4 of 5

A nurse is teaching a client who has angina about nitroglycerin sublingual tablets. Which of the following statements should the nurse include in the teaching?

Correct Answer: B

Rationale: Nitroglycerin dilates cardiac blood vessels to deliver more oxygen to the heart. This action helps relieve the chest pain associated with angina by increasing blood flow.

Question 5 of 5

A nurse is assessing a male client who has advanced peripheral artery disease (PAD). Which of the following findings should the nurse expect?

Correct Answer: D

Rationale: Leg pain at rest, called rest pain, signifies advanced peripheral artery disease due to severe arterial insufficiency and poor oxygen supply to tissues.

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