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ATI n120 Med Surg Quiz Questions

Extract:


Question 1 of 5

The nurse has received the laboratory results for a patient who developed chest pain 4 hours ago and may be having a myocardial infarction. Which of the following laboratory test results are most indicative of myocardial damage?

Correct Answer: A

Rationale: Troponins T and I are the most specific and sensitive markers for myocardial injury, released when heart muscle is damaged, making them the best indicator for myocardial infarction.

Question 2 of 5

The nurse is educating a client prior to an electrocardiogram (ECG). What is the best explanation regarding the purpose of electrocardiography?

Correct Answer: B

Rationale: An electrocardiogram assesses the heart's electrical activity, helping diagnose arrhythmias, myocardial infarction, and other cardiac conditions.

Question 3 of 5

The nurse teaches a client at risk for coronary artery disease about necessary lifestyle changes. The nurse determines that the client understands the education if the client makes which statements?

Correct Answer: B,D,E

Rationale: Regular exercise, maintaining a healthy weight, and regular medical check-ups are essential for managing coronary artery disease risk. Smoking, even reduced, and daily consumption of high-fat foods like red meat and cheese increase CAD risk and are not recommended.

Question 4 of 5

A nurse is admitting a client who reports chest pain. The nurse is preparing the client for the cardiac catheterization (coronary angiography). Which of the following actions should the nurse take?

Correct Answer: B,D

Rationale: Asking about food and fluid intake ensures the client is NPO to reduce aspiration risk, and reviewing medications identifies those, like anticoagulants, that may need to be stopped to minimize bleeding risk.

Question 5 of 5

A nurse is preparing to administer 0.9% sodium chloride IV infusion 1-L bag at a rate of 125 mL/hr for a client who has rhabdomyolysis. The nurse should expect the IV pump to infuse over how many hours? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer: 8 hours

Rationale:
Total volume (1000 mL) divided by infusion rate (125 mL/hr) equals 8 hours.

Similar Questions

A client with angina pectoris is experiencing chest pain that radiates down the left arm. The nurse administers a sublingual nitroglycerin tablet to the client. The client's pain is unrelieved, and the nurse determines that the client needs another nitroglycerin tablet. Which cue is most important for the nurse to check before administering the medication?
The nurse is reviewing laboratory values for a client receiving a continuous heparin infusion. Which of the following laboratory values should the nurse monitor?
The nurse is assessing a 39-year-old client with a blood pressure (BP) of 120/78 mm Hg at rest, a total cholesterol level of 210 mg/dL, HDL cholesterol of 58 mg/dL, triglycerides of 120 mg/dL, and a fasting blood glucose level of 98 mg/dL. Which risk factor for coronary artery disease requires further follow-up?
A patient who has recently started taking simvastatin (Zocor) reports several symptoms to the nurse. Which assessment finding is most important to communicate to the health care provider?
The home care nurse has given instructions to a client who was recently discharged from the hospital regarding the care of their extremities due to peripheral arterial disease. The nurse determines that there is a need for further teaching if the client makes which statement?

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