Med-Surg ATI PN Question and answers
already passed
Prothrombin time.
FFP plasma rich in clotting factors, acute disorders. Decreased is ideal. -
correct answer what laboratory result should be repeated after administering
fresh frozen plasma (FFP)?
- pink frothy sputum
- pulmonary congestion (dyspnea, cough, bibasilar crackles)
- S3 heart sound (gallop)
- Displaced apical pulse (hypertrophy)
- fatigue
- dyspnea, orthopnea (SOB while lying down), nocturnal dyspnea. - correct
answer A client who had a myocardial infarction 5 days is more at risk for left-
sided heart failure. What signs and symptoms would the nurse expect to look
for?
1 mL - correct answer 20 gtts (drops) is how many mL?
unstable angina - correct answer chest pain with exercise or even while
resting lasting longer than 15 minutes. Increases in occurrence, severity and
duration over time. Minimal, to no relief with nitroglycerin. is what type of
angina?
Stable (exertional) angina - correct answer occurs with exercise or emotional
stress and is relieved by rest or nitroglycerin.
,Variant (Prinzmetal's) Angina - correct answer chest pain due to a coronary
artery spasm, often occurring during periods of rest is what kind of angina?
Peripheral arterial disease - correct answer A pt with:
- burning, cramping, and pain in legs during exercise
- numbness or burning pain in the feet when in bed.
- pain relieved by placing legs at rest in dependent position.
- decreased cap refil
- decreased/nonpalpable pulses
- loss of hair mid calf and down.
- dry, shiny, mottled skin
-pallor with elevation
- muscle atrophy
is indicative of what?
pericarditis - correct answer these s/s make you think of what inflammatory
disorder?
- dyspnea
- hiccups
- nonproductive cough
- tachycardia
- inspiration causes chest pain
- chest pain relieved when sitting and leaning forward.
,Ventricular dysrhythmias - correct answer First 24 hours after a MI a pt is at
risk for which complication?
B12 injections. Weekly during diagnosis, and then decreased to monthly. -
correct answer A pt with pernicious anemia should be recommend what
interventions?
Auscultate blood pressure for pulsus paradoxus (variance of 10 mm Hg or
more in systolic BP between expiration and inspiration.)
Monitoring for hypotension, muffled heart sounds, and JVD. - correct answer
A nurse is checking for a cardiac tamponade on a client who has pericarditis.
What should the nurse be looking for?
Weight gain of 1kg a day, pitting edema +3, BNP level above 100 pg/mL. -
correct answer A pt who has late-stage heart failure is experiencing fluid
volume overload. Which of the following findings should the nurse expect to
see?
Red Blood Cells - correct answer - verifying information on unit and pt
identifiers
- infuse over 4 hours
- infuse through an 18 gauge IV
- start transfusion within 30 minutes
are nursing actions for what transfusion of blood products?
Fresh Frozen Plasma (FFP) - correct answer - transfused as soon as thawed,
while clotting is still active
- must match ABO
- 200 mL should be infused rapidly over 30-60 minutes
, are nursing interventions for what type of transfusion?
Platelets - correct answer - do not need to match client blood type
- must be infused once brought into room, given over 15-30 min using special
transfusion set with a small filter and short tubing.
- vital signs taken before, 15 min after start, and after completion.
Abdominal Aortic Aneurysm (AAA) - correct answer - constant gnawing
feeling in abdomen
- low back pain
- pulsating abdominal mass
- bruit over the area of the aneurysm
- elevated BP
are all symptoms of what diagnosis?
- elevating legs above heart.
- wearing compression stockings for up to 1 week after surgery.
- Client should ambulate 5-10 min q 1 hr while awake. - correct answer
Postoperative vein ligation and stripping nursing actions include what?
right sided heart failure - correct answer - JVD
- ascending dependent edema (legs, ankles, sacrum)
-abdominal distention, ascites
- fatigue, weakness
- nausea, anorexia
already passed
Prothrombin time.
FFP plasma rich in clotting factors, acute disorders. Decreased is ideal. -
correct answer what laboratory result should be repeated after administering
fresh frozen plasma (FFP)?
- pink frothy sputum
- pulmonary congestion (dyspnea, cough, bibasilar crackles)
- S3 heart sound (gallop)
- Displaced apical pulse (hypertrophy)
- fatigue
- dyspnea, orthopnea (SOB while lying down), nocturnal dyspnea. - correct
answer A client who had a myocardial infarction 5 days is more at risk for left-
sided heart failure. What signs and symptoms would the nurse expect to look
for?
1 mL - correct answer 20 gtts (drops) is how many mL?
unstable angina - correct answer chest pain with exercise or even while
resting lasting longer than 15 minutes. Increases in occurrence, severity and
duration over time. Minimal, to no relief with nitroglycerin. is what type of
angina?
Stable (exertional) angina - correct answer occurs with exercise or emotional
stress and is relieved by rest or nitroglycerin.
,Variant (Prinzmetal's) Angina - correct answer chest pain due to a coronary
artery spasm, often occurring during periods of rest is what kind of angina?
Peripheral arterial disease - correct answer A pt with:
- burning, cramping, and pain in legs during exercise
- numbness or burning pain in the feet when in bed.
- pain relieved by placing legs at rest in dependent position.
- decreased cap refil
- decreased/nonpalpable pulses
- loss of hair mid calf and down.
- dry, shiny, mottled skin
-pallor with elevation
- muscle atrophy
is indicative of what?
pericarditis - correct answer these s/s make you think of what inflammatory
disorder?
- dyspnea
- hiccups
- nonproductive cough
- tachycardia
- inspiration causes chest pain
- chest pain relieved when sitting and leaning forward.
,Ventricular dysrhythmias - correct answer First 24 hours after a MI a pt is at
risk for which complication?
B12 injections. Weekly during diagnosis, and then decreased to monthly. -
correct answer A pt with pernicious anemia should be recommend what
interventions?
Auscultate blood pressure for pulsus paradoxus (variance of 10 mm Hg or
more in systolic BP between expiration and inspiration.)
Monitoring for hypotension, muffled heart sounds, and JVD. - correct answer
A nurse is checking for a cardiac tamponade on a client who has pericarditis.
What should the nurse be looking for?
Weight gain of 1kg a day, pitting edema +3, BNP level above 100 pg/mL. -
correct answer A pt who has late-stage heart failure is experiencing fluid
volume overload. Which of the following findings should the nurse expect to
see?
Red Blood Cells - correct answer - verifying information on unit and pt
identifiers
- infuse over 4 hours
- infuse through an 18 gauge IV
- start transfusion within 30 minutes
are nursing actions for what transfusion of blood products?
Fresh Frozen Plasma (FFP) - correct answer - transfused as soon as thawed,
while clotting is still active
- must match ABO
- 200 mL should be infused rapidly over 30-60 minutes
, are nursing interventions for what type of transfusion?
Platelets - correct answer - do not need to match client blood type
- must be infused once brought into room, given over 15-30 min using special
transfusion set with a small filter and short tubing.
- vital signs taken before, 15 min after start, and after completion.
Abdominal Aortic Aneurysm (AAA) - correct answer - constant gnawing
feeling in abdomen
- low back pain
- pulsating abdominal mass
- bruit over the area of the aneurysm
- elevated BP
are all symptoms of what diagnosis?
- elevating legs above heart.
- wearing compression stockings for up to 1 week after surgery.
- Client should ambulate 5-10 min q 1 hr while awake. - correct answer
Postoperative vein ligation and stripping nursing actions include what?
right sided heart failure - correct answer - JVD
- ascending dependent edema (legs, ankles, sacrum)
-abdominal distention, ascites
- fatigue, weakness
- nausea, anorexia
