ATI RN
ATI Med Surg Nursing 200 Exam Questions
Extract:
Question 1 of 5
The nurse, who is caring for a client diagnosed with coronary artery disease, prioritizes the problem of impaired tissue perfusion in the plan of care. Which outcome would be most appropriate? The client will:
Correct Answer: C
Rationale: No complaints of chest discomfort or shortness of breath indicate adequate cardiac output and oxygen delivery, directly addressing impaired tissue perfusion. Other options are less specific to this problem.
Question 2 of 5
A client is experiencing a thyroid storm precipitated by a right lower lobe pneumonia. The vital signs are: HR-140/min; RR-28, B/P-196/54; T-101.4°F, Pulse Oximetry-96%. What action should the nurse take?
Correct Answer: D
Rationale: Thyroid storm causes increased metabolic rate and dehydration risk. Maintaining IV fluids and monitoring hydration status are critical to prevent electrolyte imbalances and support circulation. Other options are not indicated based on the client's current condition.
Question 3 of 5
The nurse auscultates a systolic murmur in the second intercostal space to the right of the sternum while performing a cardiac assessment on a client. The nurse interprets this finding as:
Correct Answer: D
Rationale: A systolic murmur in this location suggests aortic valve issues, indicating valve distortion, not occlusion, aneurysm, or pericardial fluid changes.
Question 4 of 5
A client is scheduled to receive atenolol 25 mg PO and diltiazem 60 mg PO at 0800. The nurse assesses the client's heart rate as 45 beats/minute and irregular. What is the best nursing action at this time?
Correct Answer: C
Rationale: Holding atenolol prevents further bradycardia, while diltiazem may help regulate rhythm, addressing the low, irregular heart rate.
Question 5 of 5
The nurse should instruct a young female adult with sickle cell anemia to do which of the following? (Select all that apply)
Correct Answer: A,B
Rationale: Pregnancy and low-oxygen environments increase crisis risk, making A and B correct. Strenuous exercise, flying, and avoiding water are incorrect or harmful.