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ATI Med Surg Nursing 200 Exam Questions

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Question 1 of 5

The nurse is providing care for a client diagnosed with cardiovascular disease and hypertension who is complaining of chest pain. Which medication should the nurse administer?

Correct Answer: D

Rationale: Nitroglycerin is the appropriate choice for acute chest pain as it dilates coronary arteries, improving blood flow to the heart. Furosemide, diltiazem, and metoprolol do not act quickly enough to relieve acute anginal pain.

Question 2 of 5

The nurse administers losartan 50 mg PO to a client. One hour after administration, the client calls the nurse and complains of tingling of the lips. The nurse notes that the client's lips are edematous and recognizes that the client is experiencing anaphylaxis and notifies the healthcare provider. The client requires supplemental oxygen and a fluid bolus. Which statement is true regarding this situation?

Correct Answer: A

Rationale: Tingling and edema of the lips indicate anaphylaxis, a severe allergic reaction to losartan, requiring immediate intervention.

Question 3 of 5

A client who has had long standing hypertension has been prescribed a clonidine patch. Which discharge instruction should the nurse provide?

Correct Answer: C

Rationale: Rotating application sites and inspecting skin prevents irritation or allergic reactions, ensuring safe use of the clonidine patch.

Question 4 of 5

The client with coronary artery disease asks the nurse, "Why do I get this chest pain?" Which would be the most appropriate response?

Correct Answer: C

Rationale: Chest pain in coronary artery disease (angina) results from decreased oxygen supply to the heart muscle due to narrowed coronary arteries. This explanation is accurate and relevant.

Question 5 of 5

The client says to the nurse, "I get a headache every time I put on my Nitropatch." Which response by the nurse would be most appropriate?

Correct Answer: B

Rationale: Headache is a common side effect of nitroglycerin due to vasodilation and typically subsides with continued use. The nurse should reassure the client and suggest analgesics like acetaminophen, rather than suggesting dosage changes or implying the headache is permanent.

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