ATI RN
ATI Nur 221 Med Surg Final Exam Questions
Extract:
Question 1 of 5
The nurse is caring for a client with a diagnosis of emphysema of five years. Which of the following findings should the nurse expect to see during the morning assessment? (Select all that apply)
Correct Answer: A,D,E
Rationale: Barrel chest , dyspnea , and clubbed fingers are emphysema findings from air trapping, hypoxia, and alveolar loss. Edema is late, and productive cough is for bronchitis.
Question 2 of 5
The nurse is educating a client on hyperparathyroidism. Which of the following statements would require further teaching?
Correct Answer: D
Rationale: Fluid restriction (1,000 mL) worsens hypercalcemia; increased fluids dilute calcium. Fiber , furosemide , and parathyroidectomy are correct.
Question 3 of 5
Which of the following symptoms is indicative of right-sided heart failure?
Correct Answer: C
Rationale: Jugular venous distention occurs in right-sided heart failure from systemic venous backup. Crackles , orthopnea , and blood-tinged sputum indicate left-sided failure's pulmonary congestion.
Question 4 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 5 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.