ATI RN
ATI n120 Med Surg Quiz Questions
Extract:
Question 1 of 5
The patient diagnosed with primary hypertension asks why it is called primary and not secondary. What is the best explanation for the nurse to provide?
Correct Answer: D
Rationale: Primary hypertension has no single identifiable cause, resulting from complex genetic, environmental, and lifestyle factors.
Question 2 of 5
The nurse is reviewing laboratory values for a client receiving a continuous heparin infusion. Which of the following laboratory values should the nurse monitor?
Correct Answer: C
Rationale: Activated partial thromboplastin time (aPTT) is used to monitor heparin therapy effectiveness, ensuring a therapeutic dose without excessive bleeding risk.
Question 3 of 5
The nurse has received the laboratory results for a patient who developed chest pain 4 hours ago and may be having a myocardial infarction. Which of the following laboratory test results are most indicative of myocardial damage?
Correct Answer: A
Rationale: Troponins T and I are the most specific and sensitive markers for myocardial injury, released when heart muscle is damaged, making them the best indicator for myocardial infarction.
Question 4 of 5
A nurse is caring for a client who has thrombophlebitis and is receiving heparin by continuous IV infusion. The client asks the nurse how long it will take for the heparin to dissolve the clot. Which of the following responses should the nurse give?
Correct Answer: C
Rationale: Heparin is an anticoagulant that prevents new clot formation, not a thrombolytic that dissolves existing clots.
Question 5 of 5
A patient who has recently started taking simvastatin (Zocor) reports several symptoms to the nurse. Which assessment finding is most important to communicate to the health care provider?
Correct Answer: B
Rationale: Generalized muscle aches may indicate rhabdomyolysis, a serious side effect of simvastatin that can lead to kidney damage, requiring immediate communication to the provider.