ATI RN
ATI n120 Med Surg Quiz Questions
Extract:
Question 1 of 5
The nurse is assessing a client diagnosed with peripheral arterial disease. The client reports leg pain and cramping after walking 3 blocks, which is relieved when the client stops and rests. The nurse documents that the client is experiencing which clinical manifestation?
Correct Answer: B
Rationale: Intermittent claudication is a hallmark symptom of peripheral arterial disease, characterized by leg pain and cramping during activity that is relieved by rest due to reduced blood flow.
Question 2 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.
Question 3 of 5
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?
Correct Answer: C
Rationale: Nitroglycerin, a vasodilator, can lower blood pressure, so checking blood pressure before administering another dose is critical to avoid complications like hypotension.
Question 4 of 5
A patient with a history of hypertension treated with a diuretic and an angiotensin-converting enzyme (ACE) inhibitor arrives in the emergency department complaining of headache and blurred vision and has a blood pressure (BP) of 192/108 mmHg. Which question should the nurse ask to follow up on these findings?
Correct Answer: D
Rationale: Poor medication adherence is a common cause of elevated blood pressure despite treatment, likely explaining the severe BP elevation and symptoms.
Question 5 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.