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. Weight gain due to fluid retention and increased appetite is typical. Dry mouth, hyperglycemia, and decreased wound healing are common side effects.
Question 2 of 5
A client comes into the emergency room with complaints of persistent, crushing chest pain. Along with the chief complaint, what other symptoms would make the nurse suspect that the client is experiencing a myocardial infarction (MI)?
Correct Answer: D
Rationale: Diaphoresis and cool clammy skin are correct. These symptoms occur due to sympathetic nervous system activation in response to cardiac ischemia, leading to vasoconstriction, sweating, and signs of impending shock. Intermittent claudication, jugular vein distention, and mid-epigastric pain are not classic MI symptoms.
Question 3 of 5
The nurse is educating a client about the treatment options for a pulmonary embolism. Which of the following statements would require further teaching?
Correct Answer: C
Rationale: The purpose of the Inferior Vena Cava (IV
C) filter is to trap emboli from deep vein thrombosis (DVT) before they reach the lungs, not to prevent DVT formation. This statement is incorrect and requires further teaching. The other statements about Warfarin, Heparin, and embolectomy are accurate.
Question 4 of 5
Why are small, frequent meals recommended for patients with Chronic Obstructive Pulmonary Disease (COPD)?
Correct Answer: D
Rationale: Small, frequent meals reduce abdominal distention and diaphragm pressure, preventing dyspnea. Caloric intake, social interaction, and balanced diet are secondary considerations.
Question 5 of 5
The nurse is to administer heparin to a client who weighs 90 pounds. Heparin is ordered as 10,000 units/100mL. The nurse needs to administer a bolus of 40units/kg. How many units would the nurse administer? (Round to the nearest tenth)
Correct Answer: C
Rationale: The correct answer is 1636.4 units. Convert 90 pounds to kilograms (90 / 2.2 = 40.91 kg). Calculate the dose: 40.91 kg × 40 units/kg = 1636.4 units. This matches the provided correct answer, so option C (1636.4 units) is correct.