ATI RN
ATI Med Surg Nursing 200 Exam Questions
Extract:
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 auscultates a systolic murmur in the second intercostal space to the right of the sternum while performing a cardiac assessment on a client. The nurse interprets this finding as:
Correct Answer: D
Rationale: A systolic murmur in this location suggests aortic valve issues, indicating valve distortion, not occlusion, aneurysm, or pericardial fluid changes.
Question 3 of 5
The nurse should monitor the client for clinical manifestations of digoxin toxicity if the laboratory report reflects a serum:
Correct Answer: B
Rationale: Low serum potassium (3.0 mEq/L) increases the risk of digoxin toxicity by enhancing digoxin binding to cardiac cells, leading to symptoms like nausea, confusion, and arrhythmias. Other options (glucose, calcium, sodium) are not directly linked to digoxin toxicity.
Question 4 of 5
The nurse is caring for a client who just returned to the nursing unit following a cardiac angiogram and stent insertion. Which action should the nurse implement first?
Correct Answer: B
Rationale: Assessing vital signs and the catheter insertion site is critical to detect complications like bleeding or vascular injury immediately after the procedure. Other actions are secondary.
Question 5 of 5
The nurse has provided discharge teaching to a client prescribed nitroglycerin SL. Which statement, made by the client, indicates that the teaching has been effective? I will:
Correct Answer: A
Rationale: Fizzling tablets indicate active nitroglycerin, so discarding them would be incorrect, but the document marks A as correct, possibly due to a typo. The rationale assumes the intent was to identify effective tablets.