ATI RN
ATI n120 Med Surg Quiz Questions
Extract:
Question 1 of 5
The nurse is reviewing laboratory values for a client receiving a continuous heparin infusion. Which of the following laboratory values should the nurse monitor?
Correct Answer: C
Rationale: Activated partial thromboplastin time (aPTT) is used to monitor heparin therapy effectiveness, ensuring a therapeutic dose without excessive bleeding risk.
Question 2 of 5
A nurse is admitting a client who reports chest pain. The nurse is preparing the client for the cardiac catheterization (coronary angiography). Which of the following actions should the nurse take?
Correct Answer: B,D
Rationale: Asking about food and fluid intake ensures the client is NPO to reduce aspiration risk, and reviewing medications identifies those, like anticoagulants, that may need to be stopped to minimize bleeding risk.
Question 3 of 5
The nurse is assessing a 39-year-old client with a blood pressure (BP) of 120/78 mm Hg at rest, a total cholesterol level of 210 mg/dL, HDL cholesterol of 58 mg/dL, triglycerides of 120 mg/dL, and a fasting blood glucose level of 98 mg/dL. Which risk factor for coronary artery disease requires further follow-up?
Correct Answer: D
Rationale: A total cholesterol level of 210 mg/dL is above the recommended level of less than 200 mg/dL, indicating a need for follow-up to manage this coronary artery disease risk factor.
Question 4 of 5
A nurse at a provider's office receives a phone call from a client who reports nausea and unrelieved chest pain after taking a nitroglycerin tablet 5 min ago. Which of the following is an appropriate response by the nurse?
Correct Answer: C
Rationale: Persistent chest pain after nitroglycerin may indicate a myocardial infarction, requiring immediate emergency care by calling 911.
Question 5 of 5
A nurse is preparing to administer 0.9% sodium chloride IV infusion 1-L bag at a rate of 125 mL/hr for a client who has rhabdomyolysis. The nurse should expect the IV pump to infuse over how many hours? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 8 hours
Rationale:
Total volume (1000 mL) divided by infusion rate (125 mL/hr) equals 8 hours.