ATI RN
ATI Nur 221 Med Surg Exam Cardiac Questions
Extract:
Question 1 of 5
The client is being discharged with a prescription of prednisone. Which of the following is not a common side effect for this corticosteroid?
Correct Answer: A
Rationale: Weight loss is not a common side effect of prednisone. Instead, prednisone often causes weight gain due to fluid retention and increased appetite. Dry mouth, hyperglycemia, and decreased wound healing are known side effects.
Question 2 of 5
A client has chronic obstructive pulmonary disease (COPD) and right-sided heart failure. Which statement by the nurse is correct?
Correct Answer: A
Rationale: Eating six small meals a day limits oxygen demand during digestion and prevents bloating, aiding breathing. Excessive fluids, lying down, and protein intake adjustments are not appropriate.
Question 3 of 5
A nurse is caring for a client with a diagnosis of left-sided heart failure. The nurse expects what assessment findings associated with left-sided heart failure? (Select All that Apply.)
Correct Answer: C,D,E
Rationale: Crackles in the lungs (
C), confusion (
D), and exertional dyspnea (E) are expected. Left-sided heart failure causes pulmonary congestion (crackles, dyspnea) and reduced cerebral perfusion (confusion). Ascites and leg edema are associated with right-sided heart failure.
Question 4 of 5
A nurse is caring for a client who has chronic obstructive pulmonary disease (COPD). The client tells the nurse, 'I can feel the congestion in my lungs, and I certainly cough a lot, but I can't seem to bring anything up.' Which of the following actions should the nurse take to help this client with tenacious bronchial secretions?
Correct Answer: A
Rationale: Adequate hydration (2 to 3 L daily) thins mucus secretions, aiding expectoration. Semi-Fowler's position, oxygen therapy, and a low-salt diet do not directly address thick mucus.
Question 5 of 5
Which of the following describe a non-ST segment elevation myocardial infarction (NSTEMI)?
Correct Answer: C
Rationale: An NSTEMI occurs due to a partial occlusion of a coronary artery, causing ischemia without ST-segment elevation. Complete occlusion describes STEMI, and exertional chest pain describes stable angina.