Questions 53

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ATI Nur 221 Med Surg Exam Cardiac Questions

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Question 1 of 5

Which diagnostic test may be prescribed to evaluate for the presence of a pulmonary embolism?

Correct Answer: B

Rationale: D-Dimer is correct. It detects fibrin degradation products, which are elevated in the presence of a blood clot, making it a useful screening test for pulmonary embolism. Stress testing, ECG, and pulmonary function testing are not specific for diagnosing pulmonary embolism.

Question 2 of 5

A client comes into the emergency room with complaints of persistent, crushing chest pain. Along with the chief complaint, what other symptoms would make the nurse suspect that the client is experiencing a myocardial infarction (MI)?

Correct Answer: D

Rationale: Diaphoresis and cool clammy skin are correct. These symptoms occur due to sympathetic nervous system activation in response to cardiac ischemia, leading to vasoconstriction, sweating, and signs of impending shock. Intermittent claudication, jugular vein distention, and mid-epigastric pain are not classic MI symptoms.

Question 3 of 5

What is the primary purpose of using a CPAP machine for the treatment of obstructive sleep apnea (OSA)?

Correct Answer: A

Rationale: Delivering a continuous flow of air pressure to keep the airway open is correct. CPAP prevents airway collapse during sleep, allowing for uninterrupted breathing and oxygenation. Reducing daytime sleepiness, improving sleep quality, and promoting weight loss are benefits but not the primary purpose.

Question 4 of 5

Which of the following is considered a risk factor for COPD?

Correct Answer: C

Rationale: Alpha-1 Antitrypsin (AAT) deficiency is correct. It is a genetic disorder that leads to early-onset emphysema, impairing the lungs' ability to protect against enzymatic damage. Hypertension, male gender, and history of pulmonary embolism are not primary risk factors for COPD.

Question 5 of 5

What is the purpose of a patient with COPD using an ipratropium inhaler?

Correct Answer: A

Rationale: Preventing bronchospasms and promoting bronchodilation is correct. Ipratropium is an anticholinergic bronchodilator that relaxes airway muscles, improving airflow in COPD patients. It does not monitor blood pressure, relieve nasal congestion, or primarily reduce coughing.

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