ATI RN
ATI Nur120 Med Surg Exam 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: D
Rationale:
A) Tachycardia: Appropriate for propranolol.
B) Kidney failure: Not contraindicated, metabolized by liver.
C) Hypertension: Appropriate us
D) Asthma: Correct, beta-blockers can exacerbate asthma.
Question 2 of 5
The nurse is providing a client with teaching regarding a new diagnosis of peripheral venous disease (PVD). Which client statement indicates the client understood the education provided? (Select all that apply)
Correct Answer: A,B,C,D
Rationale:
A) Compression stockings: Correct, improves venous return.
B) Limit standing: Correct, reduces venous stasis.
C) Brownish discoloration: Correct, indicates awareness of complications.
D) Hair loss: Correct, due to reduced blood flow. E) Cholesterol medication: Incorrect, should be taken as prescribed.
Question 3 of 5
A nurse is caring for a client in a cardiac unit. Using the five criteria for ECG analysis information, the nurse interprets the client's ECG as which of the following rhythm interpretations? Heart Rate: 59 bpm, Rhythm: Regular, Presence of P waves: One P wave for every QRS complex, PR interval: 0.20 seconds, QRS complex duration: 0.10 seconds
Correct Answer: C
Rationale:
A) Ventricular tachycardia: Incorrect, requires >100 bpm.
B) Sinus tachycardia: Incorrect, requires >100 bpm.
C) Sinus bradycardia: Correct, <60 bpm with normal P waves and intervals.
D) Normal sinus rhythm: Incorrect, requires 60-100 bpm.
Question 4 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:
A) Troponins: Not related to spironolacton
B) Potassium: Correct, monitor for hyperkalemi
C) Albumin: Not directly affecte
D) Bicarbonate: Less critical than potassium.
Question 5 of 5
A nurse is providing teaching to a client who has a family history of hypertension. The nurse should inform the client that his blood pressure of 130/82 mm Hg places him in which of the following categories?
Correct Answer: B
Rationale:
A) Within expected range: Incorrect, normal is <120/80 mm H
B) Elevated: Correct, systolic 120-129 mm Hg and diastolic <80 mm H
C) Stage 2 hypertension: Incorrect, requires systolic ≥140 mm Hg or diastolic ≥90 mm H
D) Stage 1 hypertension: Incorrect, requires systolic 130-139 mm Hg and diastolic 80-89 mm Hg.