ATI RN MED SURG RETAKE EXAM COMPLETE
QUESTIONS AND CORRECT DETAILED
ANSWERS
A nurse is caring for a client who has a history of angina 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 0700"
B. "I didn't tale my heart pills this morning because the doctor told me not to"
C. "I have had chest pain a couple of time since I saw my doctor in the office last week"
D. "I smoked a cigarette this morning to calm my nerves about having this procedure"
D
A nurse is providing discharge teaching to 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 0.9 kg (2 lb) in 24 hours)
B. Increase of 10 mmHg in systolic blood pressure
C. Dyspnea with exertion
D. Dizziness when rising quickly
A
,A nurse is assessing a client who has history a deep-vein thrombosis and is receiving Warfarin.
Which of the following findings should indicate to the nurse that the medication is effective?
A. Hemoglobin 14 g/dL
B. Minimal bruising of extremities
C. Decreased bp
D. INR 2
D
A nurse is caring for a client who is receiving heparin therapy and develops hematuria. Which of
the following actions should the nurse take if the client's aPTT is 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 (PT)
D. Stop the heparin infusion
D
A nurse is caring for a client who has heart failure and is experiencing atrial fibrillation. Which of
the following findings should the nurse plan to monitor for and report to the provider
immediately?
A. Slurred speech
B. Irregular pulse
C. Dependent edema
D. Persistent fatigue
A
,A nurse is reviewing the laboratory results of several male clients who have peripheral arterial
disease. The nurse should plan to provide dietary teaching for the client who has which of the
following laboratory value?
A. Cholesterol 180 mg/dL, HDL 70 mg/dL, LDL 90 mg/dL
B. Cholesterol 185 mg/dL, HDL 50 mg/dL, LDL 120 mg/dL
C. Cholesterol 190 mg/dL, HDL 25 mg/dL, LDL 160 mg/dL
D. Cholesterol 195 mg/dL, HDL 55 mg/dL, LDL 125 mg/dL
C
A nurse in an emergency department is assessing a client who has brady dysrhythmia. Which of
the following findings should the nurse monitor for?
A. Confusion
B. Friction rub
C. Hypertension
D. Dry skin
A
A nurse is caring for a client following the insertion of a permanent pacemaker. Which of the
following client statement indicates a potential complication of the insertion procedure?
A. "I can't get rid of these hiccups"
B. "I feel dizzy when I stand"
C. "My incision site stings"
D. "I have a headache"
A
, A nurse is planning a presentation for a group of clients who have HTN. Which of the following
lifestyle modification should the nurse include?
A. Limited alcohol intake
B. Regular exercise program
C. Decreased magnesium intake
D. Reduced potassium intake
E. Tobacco cessation
ABE
A nurse is providing health teaching to a group of clients. Which of the following clients is at risk
for developing peripheral arterial disease?
A. A client who has hypothyroidism
B. A client who has diabetes mellitus
C. A client whose daily caloric intake consists of 25% fat
D. A client who consumes two 12-oz (0.35 L) bottles of beer a day
B
A nurse is monitoring a client's ECG monitor and notes the client's rhythm has changed from
normal sinus rhythm to SVT. The nurse should prepare to assist with which of the following
interventions?
A. Initiate chest compression
B. Vagal stimulation
C. Administration of atropine IV
QUESTIONS AND CORRECT DETAILED
ANSWERS
A nurse is caring for a client who has a history of angina 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 0700"
B. "I didn't tale my heart pills this morning because the doctor told me not to"
C. "I have had chest pain a couple of time since I saw my doctor in the office last week"
D. "I smoked a cigarette this morning to calm my nerves about having this procedure"
D
A nurse is providing discharge teaching to 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 0.9 kg (2 lb) in 24 hours)
B. Increase of 10 mmHg in systolic blood pressure
C. Dyspnea with exertion
D. Dizziness when rising quickly
A
,A nurse is assessing a client who has history a deep-vein thrombosis and is receiving Warfarin.
Which of the following findings should indicate to the nurse that the medication is effective?
A. Hemoglobin 14 g/dL
B. Minimal bruising of extremities
C. Decreased bp
D. INR 2
D
A nurse is caring for a client who is receiving heparin therapy and develops hematuria. Which of
the following actions should the nurse take if the client's aPTT is 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 (PT)
D. Stop the heparin infusion
D
A nurse is caring for a client who has heart failure and is experiencing atrial fibrillation. Which of
the following findings should the nurse plan to monitor for and report to the provider
immediately?
A. Slurred speech
B. Irregular pulse
C. Dependent edema
D. Persistent fatigue
A
,A nurse is reviewing the laboratory results of several male clients who have peripheral arterial
disease. The nurse should plan to provide dietary teaching for the client who has which of the
following laboratory value?
A. Cholesterol 180 mg/dL, HDL 70 mg/dL, LDL 90 mg/dL
B. Cholesterol 185 mg/dL, HDL 50 mg/dL, LDL 120 mg/dL
C. Cholesterol 190 mg/dL, HDL 25 mg/dL, LDL 160 mg/dL
D. Cholesterol 195 mg/dL, HDL 55 mg/dL, LDL 125 mg/dL
C
A nurse in an emergency department is assessing a client who has brady dysrhythmia. Which of
the following findings should the nurse monitor for?
A. Confusion
B. Friction rub
C. Hypertension
D. Dry skin
A
A nurse is caring for a client following the insertion of a permanent pacemaker. Which of the
following client statement indicates a potential complication of the insertion procedure?
A. "I can't get rid of these hiccups"
B. "I feel dizzy when I stand"
C. "My incision site stings"
D. "I have a headache"
A
, A nurse is planning a presentation for a group of clients who have HTN. Which of the following
lifestyle modification should the nurse include?
A. Limited alcohol intake
B. Regular exercise program
C. Decreased magnesium intake
D. Reduced potassium intake
E. Tobacco cessation
ABE
A nurse is providing health teaching to a group of clients. Which of the following clients is at risk
for developing peripheral arterial disease?
A. A client who has hypothyroidism
B. A client who has diabetes mellitus
C. A client whose daily caloric intake consists of 25% fat
D. A client who consumes two 12-oz (0.35 L) bottles of beer a day
B
A nurse is monitoring a client's ECG monitor and notes the client's rhythm has changed from
normal sinus rhythm to SVT. The nurse should prepare to assist with which of the following
interventions?
A. Initiate chest compression
B. Vagal stimulation
C. Administration of atropine IV
