ATI RN
ATI Med Surg Quiz 1 Questions
Extract:
Question 1 of 5
The nurse receives a new client from the emergency department with an order for propranolol (Inderal). Upon looking at the client's history, which diagnosis would make the nurse clarify this order?
Correct Answer: B
Rationale: Propranolol is a nonselective beta-blocker that can cause bronchoconstriction in asthma, leading to respiratory distress. It is not contraindicated in kidney failure (though caution is needed), and it is used to treat hypertension and tachycardia.
Question 2 of 5
A nurse is giving a presentation to a community group about preventing atherosclerosis. Which of the following should the nurse include as nonmodifiable risk factors for this disorder? (Select all that apply.)
Correct Answer: B,C
Rationale: Biological sex and age are nonmodifiable risk factors for atherosclerosis. Males have a higher risk at an earlier age, and advancing age increases risk due to vessel changes. Diabetes, physical inactivity, obesity, high blood pressure, and smoking are modifiable risk factors.
Question 3 of 5
A nurse is caring for a client who is being administered spironolactone (Aldactone). Which of the following laboratory values should be monitored due to taking this medication?
Correct Answer: B
Rationale: Spironolactone is a potassium-sparing diuretic that can cause hyperkalemia. Monitoring potassium levels is essential to prevent complications like cardiac arrhythmias. Bicarbonate, troponins, and albumin are not directly affected.
Question 4 of 5
A nurse is reinforcing teaching with a client regarding reduction of risk factors for coronary artery disease. Which of the following statements by the client indicates an understanding of the teaching? (Select all that apply.)
Correct Answer: A,B,C
Rationale: Limiting fast foods reduces unhealthy fats, monitoring weight helps manage cardiovascular risks, and stopping smoking significantly lowers CAD risk. Moderate alcohol consumption may be beneficial, and exercise should be increased, not limited.
Question 5 of 5
A nurse is teaching a client just diagnosed with mild hypertension. Which of the following information should the nurse include in the teaching?
Correct Answer: A
Rationale: Thiazide diuretics are often the initial treatment for mild hypertension, reducing fluid volume and blood pressure. Saturated fats should be limited, blood pressure management is long-term, and alcohol should be limited to one drink per day for women, two for men.