Questions 55

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ATI Nurs 201 Med Surg 2 Exam Questions

Extract:


Question 1 of 5

The nurse is teaching a client with stable angina about their condition. Which of the following statements should the nurse include in the teaching?

Correct Answer: A

Rationale: Stable angina is predictable, triggered by exertion or stress, and relieved by rest or nitroglycerin, indicating coronary artery disease.

Question 2 of 5

A nurse is teaching a class at a community center to a group of young adult, adult, and older adult clients regarding regular screening recommendations for cancer prevention. Which of the following information should the nurse include?

Correct Answer: A

Rationale: Annual mammograms starting at age 40 are recommended for average-risk women to detect breast cancer early, per ACS guidelines.

Question 3 of 5

The nurse is preparing discharge teaching for a client with Bell's Palsy. Which of the following is most important to include in the teaching? [Select all that apply)

Correct Answer: B,C,E

Rationale:
B) Warm compresses reduce pain and inflammation.
C) Eye protection at night prevents corneal damage. E) Artificial tears prevent eye dryness due to impaired eyelid closure.

Question 4 of 5

A nurse is reviewing the EKG strip of a client who is hypertensive and is complaining of muscle weakness. Which of the following abnormalities on the clients EKG should the nurse interpret as a sign of hyperkalemia?

Correct Answer: A

Rationale: Peaked T waves are a classic sign of hyperkalemia on an EKG. As potassium levels rise, the T waves become taller, more pointed, and narrow, indicating changes in the heart's electrical conduction. This is one of the earliest and most characteristic EKG changes seen with hyperkalemia.

Question 5 of 5

The nurse is notified by the telemetry monitor tech that the client has been persistently in the following rhythm [see image). The client has a exhibiting the following cardiac rhythm? pulse of 130 bpm, B/P of 86/44 mm Hg, respirations of 24 with a saturation of 90%. Which of the following is a priority intervention for a client exhibiting the following cardiac rhythm?

Correct Answer: B

Rationale: The priority intervention for a client exhibiting this cardiac rhythm with accompanying signs of hemodynamic instability (low blood pressure, tachycardia, respiratory distress) is synchronized cardioversion. This is especially the case if the rhythm is atrial fibrillation, atrial flutter, or supraventricular tachycardia (SVT), which can be life-threatening if not treated promptly. Synchronized cardioversion is indicated when the patient is symptomatic and hemodynamically unstable.

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