ATI Med Surg Exam 1 Practice Questions
A nurse is planning care for a client who is having a percutaneous transluminal coronary angioplasty (PTCA) with stent
placement. Which of the following actions should the nurse anticipate in the post-procedure plan of care?
A. Instruct the client about a long-term cardiac conditioning program
B. Administer scheduled doses of acetaminophen
C. Check for peak laboratory markers of myocardial damage
D. Monitor for bleeding
D. Monitor for bleeding
Correct Answer: D.
Monitor for bleeding
Bleeding is a post-procedure complication of PTCA because of the administration of heparin during the procedure and the
removal of the femoral (or brachial) sheath. Manual pressure or a closure device is used to obtain hemostasis to the site.
The client should remain on bed rest until hemostasis is assured.
Incorrect Answers:A. The nurse should provide teaching about cardiac rehabilitation prior to the client's discharge from the
hospital.
B. The nurse should plan to administer scheduled doses of aspirin post-procedure. This maintains the patency of the
client’s coronary arteries following the PTCA by preventing platelet aggregation and thrombus formation around the newly
placed stent.
,C. The nurse should monitor for peak laboratory markers of myocardial damage following a myocardial infarction and
reperfusion with thrombolytic therapy.
A nurse in a provider's office is reviewing the medical records of a group of clients. Which of the following clients is at risk
for iron deficiency? (Select all that apply.)
A. A client who is postmenopausal
B. A client who is a vegetarian
C. A middle adult male client
D. A client who is pregnant
E. A toddler who is overweight
B. A client who is a vegetarian
D. A client who is pregnant
E. A toddler who is overweight
A client who is a vegetarian might require additional iron because the availability of iron in vegetable food sources is
limited. During pregnancy, maternal blood volume increases, and the fetus requires additional iron. Therefore, the RDA of
iron for clients who are pregnant is increased to 27 mg per day. Toddlers who are overweight may get most of their
calories from milk and foods that are not considered healthy, which increases their risk for iron-deficiency anemia.
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A nurse is reviewing the laboratory findings of a client who has protein-calorie malnutrition. Which of the following findings
should the nurse expect?
A. Decreased albumin
B. Elevated hemoglobin
,C. Elevated lymphocytes
D. Decreased cortisol
A. Decreased albumin
Correct Answer: A.
Decreased albumin
A decrease in the albumin level can be an indication of long-term protein depletion. Other potential conditions that result in
decreased albumin levels include burns, wound drainage, and impaired hepatic function.
We have an expert-written solution to this problem!
A nurse is assessing a client who has increased intracranial pressure and has received intravenous mannitol. Which of
the following findings indicates a therapeutic effect of this medication?
A. Decreased blood glucose
B. Decreased bronchospasms
C. Increased urine output
D. Increased temperature
C. Increased urine output
Mannitol is an osmotic diuretic used to reduce intracranial pressure by mobilizing intracranial fluid and inhibiting the
reabsorption of water and electrolytes in the kidneys. Increased urine output and decreased intracranial pressure are
therapeutic effects of this medication.
, A nurse is preparing an in-service presentation about assessing clients who are having an acute myocardial infarction
(MI). What is the most common assessment finding with acute MI?
A. Dyspnea
B. Pain in the shoulder and left arm
C. Substernal chest pain
D. Palpitations
C. Substernal chest pain
Evidence-based practice indicates that the most common manifestation of acute MI is substernal chest pain that does not
subside with rest or nitroglycerin. Therefore, nurses should make pain management with morphine a priority to reduce
myocardial oxygen demand and increase oxygenation.
We have an expert-written solution to this problem!
A nurse is providing discharge teaching for a client who had a bone marrow transplant and has thrombocytopenia. Which
of the following statements indicates that the client understands the precautions he must take at home?
A. "I'll stick with soft foods for now."
B. "My family will be bringing me fresh flowers today."
C. "I'll use a new disposable razor each day."
D. "I'll blow my nose more often to avoid nosebleeds."
A. "I’ll stick with soft foods for now."
Thrombocytopenia (a low platelet count) is common after a bone marrow transplant. To prevent bleeding until the client’s
platelet count improves, the client should avoid hard foods that could cause mouth trauma.
Incorrect Answers:
A nurse is planning care for a client who is having a percutaneous transluminal coronary angioplasty (PTCA) with stent
placement. Which of the following actions should the nurse anticipate in the post-procedure plan of care?
A. Instruct the client about a long-term cardiac conditioning program
B. Administer scheduled doses of acetaminophen
C. Check for peak laboratory markers of myocardial damage
D. Monitor for bleeding
D. Monitor for bleeding
Correct Answer: D.
Monitor for bleeding
Bleeding is a post-procedure complication of PTCA because of the administration of heparin during the procedure and the
removal of the femoral (or brachial) sheath. Manual pressure or a closure device is used to obtain hemostasis to the site.
The client should remain on bed rest until hemostasis is assured.
Incorrect Answers:A. The nurse should provide teaching about cardiac rehabilitation prior to the client's discharge from the
hospital.
B. The nurse should plan to administer scheduled doses of aspirin post-procedure. This maintains the patency of the
client’s coronary arteries following the PTCA by preventing platelet aggregation and thrombus formation around the newly
placed stent.
,C. The nurse should monitor for peak laboratory markers of myocardial damage following a myocardial infarction and
reperfusion with thrombolytic therapy.
A nurse in a provider's office is reviewing the medical records of a group of clients. Which of the following clients is at risk
for iron deficiency? (Select all that apply.)
A. A client who is postmenopausal
B. A client who is a vegetarian
C. A middle adult male client
D. A client who is pregnant
E. A toddler who is overweight
B. A client who is a vegetarian
D. A client who is pregnant
E. A toddler who is overweight
A client who is a vegetarian might require additional iron because the availability of iron in vegetable food sources is
limited. During pregnancy, maternal blood volume increases, and the fetus requires additional iron. Therefore, the RDA of
iron for clients who are pregnant is increased to 27 mg per day. Toddlers who are overweight may get most of their
calories from milk and foods that are not considered healthy, which increases their risk for iron-deficiency anemia.
We have an expert-written solution to this problem!
A nurse is reviewing the laboratory findings of a client who has protein-calorie malnutrition. Which of the following findings
should the nurse expect?
A. Decreased albumin
B. Elevated hemoglobin
,C. Elevated lymphocytes
D. Decreased cortisol
A. Decreased albumin
Correct Answer: A.
Decreased albumin
A decrease in the albumin level can be an indication of long-term protein depletion. Other potential conditions that result in
decreased albumin levels include burns, wound drainage, and impaired hepatic function.
We have an expert-written solution to this problem!
A nurse is assessing a client who has increased intracranial pressure and has received intravenous mannitol. Which of
the following findings indicates a therapeutic effect of this medication?
A. Decreased blood glucose
B. Decreased bronchospasms
C. Increased urine output
D. Increased temperature
C. Increased urine output
Mannitol is an osmotic diuretic used to reduce intracranial pressure by mobilizing intracranial fluid and inhibiting the
reabsorption of water and electrolytes in the kidneys. Increased urine output and decreased intracranial pressure are
therapeutic effects of this medication.
, A nurse is preparing an in-service presentation about assessing clients who are having an acute myocardial infarction
(MI). What is the most common assessment finding with acute MI?
A. Dyspnea
B. Pain in the shoulder and left arm
C. Substernal chest pain
D. Palpitations
C. Substernal chest pain
Evidence-based practice indicates that the most common manifestation of acute MI is substernal chest pain that does not
subside with rest or nitroglycerin. Therefore, nurses should make pain management with morphine a priority to reduce
myocardial oxygen demand and increase oxygenation.
We have an expert-written solution to this problem!
A nurse is providing discharge teaching for a client who had a bone marrow transplant and has thrombocytopenia. Which
of the following statements indicates that the client understands the precautions he must take at home?
A. "I'll stick with soft foods for now."
B. "My family will be bringing me fresh flowers today."
C. "I'll use a new disposable razor each day."
D. "I'll blow my nose more often to avoid nosebleeds."
A. "I’ll stick with soft foods for now."
Thrombocytopenia (a low platelet count) is common after a bone marrow transplant. To prevent bleeding until the client’s
platelet count improves, the client should avoid hard foods that could cause mouth trauma.
Incorrect Answers:
