ATI RN
ATI Nur 221 Med Surg Final Exam Questions
Extract:
Question 1 of 5
The nurse is caring for a client who has heart failure and a history of asthma. The nurse reviews the provider's orders and recognizes that clarification is needed for which of the following medications?
Correct Answer: C
Rationale: Carvedilol, a non-selective beta-blocker, risks bronchospasm in asthma. Fluticasone , captopril , and isosorbide are safe for asthma and heart failure.
Question 2 of 5
The nurse is educating a client on foods to avoid when taking iodine supplements in a client with Graves' disease. Which of the following would be included in this teaching plan? (Select all that apply)
Correct Answer: A,B,C
Rationale: Goitrogens in Brussel sprouts , cabbage , and broccoli inhibit thyroid hormone production, aiding Graves' management. Fish is iodine-rich, worsening hyperthyroidism, and peaches are neutral.
Question 3 of 5
Which of the following medications are going to dilate the coronary arteries and redirect blood flow so that ischemic tissue is oxygenated?
Correct Answer: D
Rationale: Nitroglycerin dilates coronary arteries, increasing blood flow to ischemic myocardium. Salmeterol is a bronchodilator, aspirin prevents clotting, and digoxin enhances contractility, none dilating coronary vessels.
Question 4 of 5
The nurse is caring for a client with left-sided heart failure. Which of the following symptoms correlate to this diagnosis? (Select all that apply)
Correct Answer: A,B
Rationale: Tachypnea and cough result from pulmonary edema in left-sided heart failure. Jugular vein distention and ascites indicate right-sided failure, and confusion is a late, non-specific sign.
Question 5 of 5
Which of the following manifestations may indicate that a client has systemic lupus erythematosus (SLE)? (Select all that apply)
Correct Answer: A,B,D
Rationale: Butterfly rash , pleural effusions , and pericarditis are SLE manifestations from immune inflammation. Ammonia levels relate to liver failure, and varices to cirrhosis, not SLE.