ATI RN
ATI RN NSG 232 Exam Med Surg Questions
Extract:
Question 1 of 5
The nurse asks a client who is about to have a cardiac catheterization about any allergies. The client states, 'I always get a rash when I eat shellfish.' Which of the following is the priority nursing action?
Correct Answer: A
Rationale: Notifying the provider is priority to ensure precautions are taken, as shellfish allergy may indicate iodine sensitivity.
Question 2 of 5
A nurse is caring for a patient with a history of hypertension. The client reports compliance with the prescribed Thiazide medication but is complaining of generalized weakness and palpitations. The nurse should monitor the client for which potential complications of diuretics.
Correct Answer: B
Rationale: Thiazide diuretics can cause electrolyte imbalances, leading to cardiac dysrhythmias.
Question 3 of 5
A nurse is caring for a client who is scheduled for an exercise stress test. Which of the following medications should the nurse hold the morning of the stress test?
Correct Answer: A
Rationale: Tenormin (Atenolol), a beta-blocker, reduces heart rate and may affect stress test results, so it should be held.
Question 4 of 5
A nurse is caring for a heart failure client with a history of dietary non compliance. The nurse suspects the client has fluid volume overload. Which of the following findings should the nurse expect? (SELECT ALL THAT APPLY)
Correct Answer: A,B,D
Rationale: A: Fluid overload increases blood pressure. B: Increased heart rate compensates for fluid overload. D: Increased respiratory rate compensates for reduced oxygenation.
Question 5 of 5
A nurse is collecting a medication history from a client who is scheduled to have a cardiac catheterization. Which of the following medications taken by the client interacts with contrast material and places the client at risk for acute kidney injury?
Correct Answer: D
Rationale: Metformin can interact with contrast material, increasing the risk of acute kidney injury, and is typically held.