ATI MEDICAL SURGICAL REVISED
QUESTIONS AND ANSWERS
GRADED+
A nurse is caring for a client who has a history of engine and is scheduled for
exercise electrocardiography at 1100. Which of the following statements by the
client requires the nurse to contact the provider for possible rescheduling?
A. I'm still hungry after the bowl of cereal I ate at 7 am
B. I didn't take my heart pills tis morning because the doctor told me not to
C. I have had chest pain a couple times since I saw my doctor last week
D. "I smoked a cigarette this morning to calm my nerves about having this
procedure" - ANSWER- D. "I smoked a cigarette this morning to calm my nerves
about having this procedure"
A nurse is providing discharge teaching for a client who has heart failure. the nurse
should instruct the client to report which of the following findings immediately to
the provider?
A. Weight gain of 2 lb. in 24 hr
b. Increase of 10 mmhg in systolic BP
c. Dyspnea with exertion
d. Dizziness when rising quickly - ANSWER- A. Weight gain of 2 lb. in 24 hr
A nurse is caring for a client who has a history of DVT and is receiving warfarin.
Which of the following client findings provides the nurse with the best evidence
regarding the effectiveness of the warfarin therapy?
A. Hemoglobin 14 g/dl
B. Minimal bruising of extremities
C. Decreased Blood pressure
, D. INR 2.0 - ANSWER- D. INR 2.0Rationale: The nurse should identify that an
INR of 2.0 is within the desired reference range of 2.0 to 3.0 for a client who has a
deep-vein thrombosis and is receiving warfarin to reduce the risk of new clot
formation and a stroke.
Atrial depolarization - P Wave on ECG - ANSWER-
A nurse is caring for a client who is receiving heparin therapy and develops
hematuria. Which one of the following actions should the nurse take if the clients
aPTTis 96 seconds?
A. Increase the heparin infusion flow rate by 2 ml/hr
B. Continue to monitor the heparin infusion as prescribed
C. Request a prothrombin time
D. Stop the heparin infusion - ANSWER- D. Stop the heparin infusion
Rationale: The nurse should identify that the client's aPTT is above the critical
value and the client is displaying manifestations of bleeding. Therefore, the nurse
should discontinue the heparin infusion immediately and notify the provider to
reduce the risk of client injury.
A nurse is caring for a client who has heart failure and is experiencing atrial
fibrillation. The nurse should plan to monitor for and report which of the following
findings to the provider immediately?
A. Slurred speech
B. Irregular pulse
C. Dependent edema
D. Persistent fatigue - ANSWER- A. Slurred speech Rationale: The greatest risk to
this client is injury from an embolus caused by the pooling of blood that can occur
with atrial fibrillation. Slurred speech can indicate inadequate circulation to the
brain because of an embolus. Therefore, the nurse should report this finding to the
provider immediately.
QUESTIONS AND ANSWERS
GRADED+
A nurse is caring for a client who has a history of engine and is scheduled for
exercise electrocardiography at 1100. Which of the following statements by the
client requires the nurse to contact the provider for possible rescheduling?
A. I'm still hungry after the bowl of cereal I ate at 7 am
B. I didn't take my heart pills tis morning because the doctor told me not to
C. I have had chest pain a couple times since I saw my doctor last week
D. "I smoked a cigarette this morning to calm my nerves about having this
procedure" - ANSWER- D. "I smoked a cigarette this morning to calm my nerves
about having this procedure"
A nurse is providing discharge teaching for a client who has heart failure. the nurse
should instruct the client to report which of the following findings immediately to
the provider?
A. Weight gain of 2 lb. in 24 hr
b. Increase of 10 mmhg in systolic BP
c. Dyspnea with exertion
d. Dizziness when rising quickly - ANSWER- A. Weight gain of 2 lb. in 24 hr
A nurse is caring for a client who has a history of DVT and is receiving warfarin.
Which of the following client findings provides the nurse with the best evidence
regarding the effectiveness of the warfarin therapy?
A. Hemoglobin 14 g/dl
B. Minimal bruising of extremities
C. Decreased Blood pressure
, D. INR 2.0 - ANSWER- D. INR 2.0Rationale: The nurse should identify that an
INR of 2.0 is within the desired reference range of 2.0 to 3.0 for a client who has a
deep-vein thrombosis and is receiving warfarin to reduce the risk of new clot
formation and a stroke.
Atrial depolarization - P Wave on ECG - ANSWER-
A nurse is caring for a client who is receiving heparin therapy and develops
hematuria. Which one of the following actions should the nurse take if the clients
aPTTis 96 seconds?
A. Increase the heparin infusion flow rate by 2 ml/hr
B. Continue to monitor the heparin infusion as prescribed
C. Request a prothrombin time
D. Stop the heparin infusion - ANSWER- D. Stop the heparin infusion
Rationale: The nurse should identify that the client's aPTT is above the critical
value and the client is displaying manifestations of bleeding. Therefore, the nurse
should discontinue the heparin infusion immediately and notify the provider to
reduce the risk of client injury.
A nurse is caring for a client who has heart failure and is experiencing atrial
fibrillation. The nurse should plan to monitor for and report which of the following
findings to the provider immediately?
A. Slurred speech
B. Irregular pulse
C. Dependent edema
D. Persistent fatigue - ANSWER- A. Slurred speech Rationale: The greatest risk to
this client is injury from an embolus caused by the pooling of blood that can occur
with atrial fibrillation. Slurred speech can indicate inadequate circulation to the
brain because of an embolus. Therefore, the nurse should report this finding to the
provider immediately.
