ATI Med Surg Final Exam Review 2024 CORRECT ANSWERS

ATI Med Surg Final Exam Review 2024 CORRECT ANSWERS 1.A nurse is admitting a client who has a suspected MI and a history of angina. Which of the following findings will help the nurse distinguish angina from an MI? A.Angina can be relieved with rest and nitroglycerin B.The pain of an MI resolves in less than 15 minutes C.The type of activity that causes an MI can be identified D.Angina can occur for longer than 30 minutes. ANS A. Angina can be relieved with rest and nitroglycerin 2.A nurse on a cardiac unit is reviewing the lab findings of a client who has a diagnosis of MI and reports that his dyspnea began 2 weeks ago. Which of the following cardiac enzymes would confirm the infarction occurred 14 days ago? A.CK-MB B.Troponin I C.Troponin T D.Myoglobin ANS C. Troponin T 3.A nurse is caring for a client in a clinic who asks the nurse why her provider prescribed 1 aspirin per day. Which of the following is an appropriate response by the nurse? A."Aspirin reduces the formation of blood clots that could cause a heart attack." B."Aspirin receives the pain due to myocardial ischemia." C."Aspirin dissolves clots that are forming in your coronary arteries." D."Aspirin relieves headaches that are caused by other medications." ANS A. "Aspirin reduces the formation of blood clots that could cause a heart attack." 4.A nurse is instructing a client who has angina about a new prescription for metroprolol tartare (Lopressor). Which of the following statements by the client indicates understanding of the teaching? A."I should place the tablet under my tongue." B."I should have my clotting time checked weekly." C."I will report any ringing in my ears." D."I will call my doctor if my pulse rate is less than 60." ANS D. "I will call my doctor if my pulse rate is less than 60." 5.A nurse is presenting a community education program on recommended lifestyle chances to prevent angina and MI. Which of the following changes should the nurse recommend be made first? A.Diet modification B.Relaxation exercises C.Smoking cessation D.Taking omega-3 capsules ANS C. Smoking cessation 6.A nurse is caring for a client who has heart failure and reports increased shortness of breath. The nurse increases the oxygen per protocol. Which of the following actions should the nurse take first? A.Obtain the client's weight B.Assist the client into high-Fowler's position C.Auscultate lung sounds D.Check O2 saturation with pulse oximeter ANS B. Assist the client into high-Fowler's position 7.A nurse is caring for a client who has heart failure and asks how to limit fluid intake to 2,000 mL/day. Which of the following is an appropriate response by the nurse? A."Pour the amount of fluid you drink into an empty 2 liter bottle to keep track of how much you drink." B."Each glass contains 8 ounces. There are 30 milliliters per ounce, so you can have a total of 8 glasses or cups of fluid each day." C."This is the same as 2 quarts, or about the same as two pots of coffee." D."Take sips of water or ice chips so you will not take in too much fluid." ANS A. "Pour the amount of fluid you drink into an empty 2 liter bottle to keep track of how much you drink."