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ATI Nur120 Med Surg Exam Questions

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Question 1 of 5

The nurse is assessing a client diagnosed with peripheral arterial disease (PAD). The client reports leg pain and cramping after walking a few blocks, which is relieved when the client stops and rests. The nurse documents that the client is experiencing which clinical manifestation?

Correct Answer: A

Rationale:
A) Intermittent claudication: Correct, classic PAD symptom, pain with activity relieved by rest.
B) Neuropathy: Presents with tingling/numbness, not activity-related pain.
C) Deep vein thrombosis: Causes swelling/tenderness, not relieved by rest.
D) Venous insufficiency: Involves swelling/skin changes, not activity-related pain.

Question 2 of 5

A nurse is preparing to administer hydrochlorothiazide 25 mg PO daily to a client. Available is hydrochlorothiazide 50 mg/5 mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer: 2.5 mL

Rationale: Desired dose (25 mg) ÷ Available dose (50 mg/5 mL) = 2.5 mL.

Question 3 of 5

A nurse is completing the medical reconciliation on an elderly client taking several medications. Which of the following prescribed medications places this client at risk for orthostatic hypotension? (Select all that apply.)

Correct Answer: A,C,D

Rationale:
A) Furosemide: Correct, causes volume depletion.
B) Simvastatin: No effect on BP.
C) Losartan: Correct, causes vasodilation.
D) Nifedipine: Correct, causes vasodilation. E) Clopidogrel: No effect on BP.

Question 4 of 5

A nurse is providing teaching to a client who has a family history of hypertension. The nurse should inform the client that his blood pressure of 130/82 mm Hg places him in which of the following categories?

Correct Answer: B

Rationale:
A) Within expected range: Incorrect, normal is <120/80 mm H
B) Elevated: Correct, systolic 120-129 mm Hg and diastolic <80 mm H
C) Stage 2 hypertension: Incorrect, requires systolic ≥140 mm Hg or diastolic ≥90 mm H
D) Stage 1 hypertension: Incorrect, requires systolic 130-139 mm Hg and diastolic 80-89 mm Hg.

Question 5 of 5

Calculate the heart rate based on this rhythm strip.

Correct Answer: A

Rationale: Six-second method: ~6 QRS complexes in 6 seconds × 10 = 60 bpm.

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