ATI RN
ATI Nur 221 Med Surg Final Exam Questions
Extract:
Question 1 of 5
Which of the following medications would be appropriate for heart failure treatment?
Correct Answer: D
Rationale: Furosemide reduces fluid overload in heart failure, relieving edema. Diphenhydramine is an antihistamine, epinephrine increases cardiac workload, and PTU treats hyperthyroidism, all irrelevant.
Question 2 of 5
The nurse is caring for a client with left-sided heart failure. Which of the following symptoms correlate to this diagnosis? (Select all that apply)
Correct Answer: A,B
Rationale: Tachypnea and cough result from pulmonary edema in left-sided heart failure. Jugular vein distention and ascites indicate right-sided failure, and confusion is a late, non-specific sign.
Question 3 of 5
A nurse is caring for a client who has end-stage renal disease (ESRD) and reports having shortness of breath and swelling in his lower extremities. Upon assessment, the nurse notes the client has crackles in his lungs and an elevated blood pressure. The nurse should suspect which of the following based on the client's manifestations?
Correct Answer: A
Rationale: ESRD causes hypervolemia, leading to edema, pulmonary crackles, and hypertension from fluid overload. Hypovolemia causes hypotension, hyperkalemia affects muscles, and hyponatremia causes neurological symptoms, not fluid-related signs.
Question 4 of 5
The nurse is receiving hand-off report. Which of the following clients would the nurse assess first?
Correct Answer: C
Rationale: Decreased breath sounds and crackles in pancreatitis signal pleural effusion or ARDS, a life-threatening priority. Low NG drainage , respiratory distress in ascites , and low BP in varices are less immediately critical.
Question 5 of 5
The nurse is caring for a 32-year-old woman who has an enlarged thyroid, bulging eyes, and elevated T3 and T4 levels and states she has not had a menstrual cycle in 6 months. She also states she has tremors and keeps losing weight without trying. Which of the following medications would the nurse anticipate being ordered?
Correct Answer: C
Rationale: Potassium iodide inhibits thyroid hormone release, treating hyperthyroidism's symptoms (goiter, exophthalmos, weight loss). Hydroxychloroquine is for lupus, levothyroxine worsens hyperthyroidism, and methotrexate is for autoimmunity.