ATI RN
ATI Nur 112 Med Surg Exam Questions
Extract:
History and Physical
Nurses Notes
The client is a 75-year-old female admitted to the preoperative area to prepare for pacemaker insertion. The client reports she is having this done because her heart rate has been staying very low. She is always tired, and she has passed out once from a low heart rate. The client has a history of worsening symptomatic bradycardia and a history of atrial fibrillation controlled by medication. She has been off anticoagulants for 4 days to prepare for the procedure.
Question 1 of 5
The nurse would determine what actions to implement in an emergent situation. The client is at immediate risk for developing:
| Necrosis |
| Cardiac arrest |
| Peripheral edema |
| Arrhythmias |
| Renal failure |
| Anaphylaxis |
Correct Answer: D,E,F
Rationale: The client's bradycardia and atrial fibrillation history increase risks for cardiac arrest and arrhythmias, while vancomycin administration poses an anaphylaxis risk.
Extract:
Question 2 of 5
The nurse is teaching a client how to use an inhaler device. Which client statement indicates to the nurse that the client understands the instructions?
Correct Answer: A
Rationale: Rinsing the mouth after inhaler use, especially with corticosteroids, prevents oral thrush and irritation, indicating proper understanding of instructions.
Extract:
History and Physical
Nurses Notes
The client is a 75-year-old female admitted to the preoperative area to prepare for pacemaker insertion. The client reports she is having this done because her heart rate has been staying very low. She is always tired, and she has passed out once from a low heart rate. The client has a history of worsening symptomatic bradycardia and a history of atrial fibrillation controlled by medication. She has been off anticoagulants for 4 days to prepare for the procedure.
Question 3 of 5
The nurse would determine what actions to implement in an emergent situation. The client is at immediate risk for developing:
| Necrosis |
| Cardiac arrest |
| Peripheral edema |
| Arrhythmias |
| Renal failure |
| Anaphylaxis |
Correct Answer: D,E,F
Rationale: The client's bradycardia and atrial fibrillation history increase risks for cardiac arrest and arrhythmias, while vancomycin administration poses an anaphylaxis risk.
Extract:
Question 4 of 5
The nurse is caring for an adult client who is taking digoxin. Which laboratory value should be reported to the healthcare provider immediately?
Correct Answer: B
Rationale: A potassium level of 3.2 mEq/L indicates hypokalemia, which increases the risk of digoxin toxicity by enhancing digoxin's effects, potentially leading to cardiac arrhythmias.
Question 5 of 5
A client is receiving orlistat as part of a weight management program. Which ongoing assessment should be included in the plan of care to determine the effectiveness of the medication?
Correct Answer: C
Rationale: Body mass index (BMI) is a direct measure of weight changes, reflecting the effectiveness of orlistat, which reduces fat absorption to aid weight loss.