ATI RN
ATI Med Surg Nursing 200 Exam Questions
Extract:
Question 1 of 5
The nurse, who is assessing a client with peripheral vascular disease, notes that the client has no hair on the legs and has thick toenails. Which statement describes the cause of this finding?
Correct Answer: C
Rationale: Peripheral vascular disease reduces blood flow, leading to tissue ischemia, which causes hair loss and nail changes due to decreased oxygen delivery.
Question 2 of 5
The nurse should teach the client who is taking digoxin 0.125 mg PO daily to call the healthcare provider if which side effect is experienced?
Correct Answer: C
Rationale: Visual disturbances like blurred vision or halos are signs of digoxin toxicity, requiring immediate reporting to the healthcare provider.
Question 3 of 5
The nurse understands that a client who has had a bone marrow aspiration to assist in the diagnosis of aplastic anemia requires additional teaching when they state:
Correct Answer: A
Rationale: Aspirin increases bleeding risk post-procedure, so the client should avoid it and use acetaminophen instead, indicating a need for further teaching.
Question 4 of 5
The nurse administers atenolol 50 mg PO bid to a client who has coronary artery disease. The nurse understands that the therapeutic effect of this medication for this client is to:
Correct Answer: C
Rationale: Atenolol reduces heart rate and contractility, decreasing cardiac workload and oxygen demand, beneficial for coronary artery disease.
Question 5 of 5
The nurse obtains the following arterial blood gas results on a client: pH 7.2, PaO2 88 mmHg, PaCO2 40 mmHg, HCO3 19 mEq/L. Which acid-base imbalance is the client experiencing?
Correct Answer: D
Rationale: Low pH (7.2) and low bicarbonate (19 mEq/L) indicate metabolic acidosis, likely due to acid accumulation or base loss.