ATI RN
ATI Med Surg Nursing 200 Exam Questions
Extract:
Question 1 of 5
The nurse is aware that the goal of using diltiazem 30 mg PO bid in the collaborative plan of care for a client diagnosed with variant (Prinzmetal's) angina is to:
Correct Answer: B
Rationale: Diltiazem reduces coronary artery spasms, the primary cause of variant angina, improving blood flow to the heart.
Question 2 of 5
The nurse should instruct a young female adult with sickle cell anemia to do which of the following? (Select all that apply)
Correct Answer: A,B
Rationale: Pregnancy and low-oxygen environments increase crisis risk, making A and B correct. Strenuous exercise, flying, and avoiding water are incorrect or harmful.
Question 3 of 5
The nurse is about to administer the combination medication chlorthalidone and atenolol to a client diagnosed with chronic hypertension. Which interventions should the nurse include in the plan of care? (Select all that apply)
Correct Answer: B,C,E
Rationale: Holding for low heart rate, teaching position changes, and monitoring fluid status address risks of bradycardia, orthostatic hypotension, and dehydration.
Question 4 of 5
A client is experiencing a thyroid storm precipitated by a right lower lobe pneumonia. The vital signs are: HR-140/min; RR-28, B/P-196/54; T-101.4°F, Pulse Oximetry-96%. What action should the nurse take?
Correct Answer: D
Rationale: Thyroid storm causes increased metabolic rate and dehydration risk. Maintaining IV fluids and monitoring hydration status are critical to prevent electrolyte imbalances and support circulation. Other options are not indicated based on the client's current condition.
Question 5 of 5
The nurse understands that a client who has had a bone marrow aspiration to assist in the diagnosis of aplastic anemia requires additional teaching when they state:
Correct Answer: A
Rationale: Aspirin increases bleeding risk post-procedure, so the client should avoid it and use acetaminophen instead, indicating a need for further teaching.