ATI RN
ATI n120 Med Surg Quiz Questions
Extract:
Question 1 of 5
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?
Correct Answer: D
Rationale: A total cholesterol level of 210 mg/dL is above the recommended level of less than 200 mg/dL, indicating a need for follow-up to manage this coronary artery disease risk factor.
Question 2 of 5
The nurse is reviewing laboratory values for a client receiving a continuous heparin infusion. Which of the following laboratory values should the nurse monitor?
Correct Answer: C
Rationale: Activated partial thromboplastin time (aPTT) is used to monitor heparin therapy effectiveness, ensuring a therapeutic dose without excessive bleeding risk.
Question 3 of 5
The nurse has finished teaching a patient diagnosed with chronic stable angina about the use of sublingual nitroglycerin (Nitrostat). Which patient statement indicates that the teaching has been effective?
Correct Answer: C
Rationale: Calling an ambulance if chest pain persists after three nitroglycerin doses 5 minutes apart indicates understanding of the need for emergency care for potential myocardial infarction.
Question 4 of 5
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?
Correct Answer: D
Rationale: Raising legs above heart level reduces arterial blood flow in peripheral arterial disease, worsening symptoms. Proper foot care, including cutting toenails straight, wearing protective shoes, and daily inspections, is appropriate.
Question 5 of 5
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?
Correct Answer: B
Rationale: Generalized muscle aches may indicate rhabdomyolysis, a serious side effect of simvastatin that can lead to kidney damage, requiring immediate communication to the provider.