ATI RN
ATI n120 Med Surg Quiz Questions
Extract:
Question 1 of 5
The nurse is evaluating a client with multiple cardiovascular risk factors. Which of the following assessment findings would be most indicative of chronic venous insufficiency?
Correct Answer: C
Rationale: Chronic venous insufficiency causes leathery brown skin and irregular ulcers around the ankles due to hemosiderin deposition and fluid buildup from impaired venous return.
Question 2 of 5
The nurse has finished teaching a patient diagnosed with chronic stable angina about the use of sublingual nitroglycerin (Nitrostat). Which patient statement indicates that the teaching has been effective?
Correct Answer: C
Rationale: Calling an ambulance if chest pain persists after three nitroglycerin doses 5 minutes apart indicates understanding of the need for emergency care for potential myocardial infarction.
Question 3 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 4 of 5
The nurse is educating a client prior to an electrocardiogram (ECG). What is the best explanation regarding the purpose of electrocardiography?
Correct Answer: B
Rationale: An electrocardiogram assesses the heart's electrical activity, helping diagnose arrhythmias, myocardial infarction, and other cardiac conditions.
Question 5 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.