ATI RN
ATI Rn 46 Med Surg Exam Questions
Extract:
Question 1 of 5
The nurse recognizes the patient has clinical manifestations of left sided heart failure when noticing the following during the assessment
Correct Answer: B
Rationale: Crackles in the lungs indicate fluid accumulation from left-sided heart failure. Hepatomegaly, peripheral edema, and distended neck veins are associated with right-sided heart failure.
Question 2 of 5
A nurse is completing discharge teaching with a client who has a permanent pacemaker. Which of the following statements by the client indicates understanding of the teaching?
Correct Answer: C
Rationale: Notifying airport screeners about the pacemaker prevents interference, showing understanding. Hiccups are not expected, garage door openers are safe, and pulse checks may be needed more frequently.
Question 3 of 5
The nurse is caring for a patient diagnosed with pericarditis. What serious complication should this patient be monitored for?
Correct Answer: C
Rationale: Cardiac tamponade, from fluid accumulation in the pericardial space, is a life-threatening complication of pericarditis. Left ventricular hypertrophy, increased cardiac output, and hypertension are not direct complications.
Extract:
History and Physical
0900:
History of present illness:
Client presents to the emergency department reporting acute onset of back pain that started this morning. Client reports pain as 8 on a scale of Oto 10. Client also reports feeling dizzy and weak.
Past medical history: Diabetes mellitus type 2, hypertension
Surgical history: Appendectomy at age 23 years
Family history:
Father: History of prostate cancer Mother: Died of "old age"
Social history: Smokes 1 pack of cigarette
Vital Signs
0900:
Blood pressure 136/84 mm Hg
Heart rate 111/min
Respiratory rate 20/min
Temperature 37° C (98.6" F)
0920:
Blood pressure 150/86 mm Hg
Heart rate 120/min
Respiratory rate 24/min
Temperature 37° C (98.6° F)
Provider Prescriptions
Metoprolol succinate ER 100 mg PO x 1 dose
Diagnostic results
0915:
CT scan of the abdomen and pelvis: 4 cm infrarenal abdominal aortic aneurysm (AAA) Hemoglobin 11 g/dL (14 to 18 g/dL)
Hematocrit 40% (42% to 52%)
Question 4 of 5
A nurse is caring for a client in the emergency department. Which of the following interventions should the nurse expect when planning care for this client? (Select All that Apply)
Correct Answer: B,C,E,F
Rationale: Analyzing CBC monitors for bleeding, preparing for surgery addresses symptomatic AAA, antihypertensives control rupture risk, and arterial line aids monitoring. Back pain monitoring, transfusion, and education are secondary in the acute phase.
Extract:
Question 5 of 5
A patient with a sinus node dysfunction has a permanent pacemaker inserted. Before discharge, what should the nurse include when teaching the patient?
Correct Answer: A
Rationale: Avoiding chest trauma protects the pacemaker. Arm lifting is restricted initially, microwaves are safe, and pacing does not typically cause spasms.