ATI RN
ATI Med Surg Nursing 200 Exam Questions
Extract:
Question 1 of 5
The client diagnosed with primary hypertension says, "I don't know why the doctor is worried about my blood pressure. I am feeling just fine." Which statement by the nurse would be the most appropriate?
Correct Answer: C
Rationale: Hypertension can cause silent damage to organs like the heart and kidneys, even without symptoms. Educating the client about this risk emphasizes the need for ongoing monitoring and treatment.
Question 2 of 5
The client with coronary artery disease asks the nurse, "Why do I get this chest pain?" Which would be the most appropriate response?
Correct Answer: C
Rationale: Chest pain in coronary artery disease (angina) results from decreased oxygen supply to the heart muscle due to narrowed coronary arteries. This explanation is accurate and relevant.
Question 3 of 5
The nurse should monitor the client for clinical manifestations of digoxin toxicity if the laboratory report reflects a serum:
Correct Answer: B
Rationale: Low serum potassium (3.0 mEq/L) increases the risk of digoxin toxicity by enhancing digoxin binding to cardiac cells, leading to symptoms like nausea, confusion, and arrhythmias. Other options (glucose, calcium, sodium) are not directly linked to digoxin toxicity.
Question 4 of 5
The nurse obtains the following arterial blood gas results on a client: pH 7.2, PaO2 88 mmHg, PaCO2 40 mmHg, HCO3 19 mEq/L. Which acid-base imbalance is the client experiencing?
Correct Answer: D
Rationale: Low pH (7.2) and low bicarbonate (19 mEq/L) indicate metabolic acidosis, likely due to acid accumulation or base loss.
Question 5 of 5
The client diagnosed with primary hypertension says, "I don't know why the doctor is worried about my blood pressure. I am feeling just fine." Which statement by the nurse would be the most appropriate?
Correct Answer: C
Rationale: Hypertension can cause silent damage to organs like the heart and kidneys, even without symptoms. Educating the client about this risk emphasizes the need for ongoing monitoring and treatment.