ATI RN
ATI Med Surg Nursing 200 Exam Questions
Extract:
Question 1 of 5
The nurse administers losartan 50 mg PO to a client. One hour after administration, the client calls the nurse and complains of tingling of the lips. The nurse notes that the client's lips are edematous and recognizes that the client is experiencing anaphylaxis and notifies the healthcare provider. The client requires supplemental oxygen and a fluid bolus. Which statement is true regarding this situation?
Correct Answer: A
Rationale: Tingling and edema of the lips indicate anaphylaxis, a severe allergic reaction to losartan, requiring immediate intervention.
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 is assisting a client diagnosed with hypertension with menu selection. Which items should the nurse suggest?
Correct Answer: D
Rationale: Baked tuna, broccoli, brown rice, and cantaloupe are low-sodium, low-fat, and nutrient-rich, ideal for hypertension management.
Question 4 of 5
The nurse administers atenolol 50 mg PO bid to a client who has coronary artery disease. The nurse understands that the therapeutic effect of this medication for this client is to:
Correct Answer: C
Rationale: Atenolol reduces heart rate and contractility, decreasing cardiac workload and oxygen demand, beneficial for coronary artery disease.
Question 5 of 5
A patient has recently started ferrous sulfate 500 mg by mouth two times per day for anemia. Which of the following data would indicate to the nurse that the therapy is successful?
Correct Answer: B
Rationale: Hemoglobin level of 14 g/dL within the normal range indicates improved oxygen-carrying capacity, confirming successful treatment of anemia with ferrous sulfate.