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ATI DETAILED ANSWER KEY PRACTICE TEST #2 ATI NURSING QUESTIONS WITH CORRECT ANSWERS AND RATIONALES

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ATI DETAILED ANSWER KEY PRACTICE TEST #2 ATI NURSING QUESTIONS WITH CORRECT ANSWERS AND RATIONALES 1. A nurse is caring for a client who has congestive heart failure and is taking digoxin daily. The client refusedbreakfastandiscomplainingofnauseaandweakness.Whichofthefollowingactionsshouldthe...

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  • February 17, 2024
  • 55
  • 2023/2024
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  • ATI KEY PRACTICE #2 ATI NURSI
  • ATI KEY PRACTICE #2 ATI NURSI
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ATI DETAILED ANSWER KEY PRACTICE TEST #2 ATI NURSING 2023 -2024 QUESTIONS WITH CORRECT ANSWERS AND RATIONALES ATI DETAILED ANSWER KEY PRACTICE TEST #2 ATI NURSING 2023 -2024 QUESTIONS WITH CORRECT ANSWERS AND RATIONALES 1. A nurse is caring for a client who has congestive heart failure and is taking digoxin daily. The client refusedbreakfastandiscomplainingo fnauseaandweakness.Whichofthefollowingactionsshouldthenursetakefirst? A. Check the client's vital signs. Rationale: It is possible that the client's nausea is secondary to digoxin toxicity. By obtaining vital signs, thenurse can assess for bradycardia, which is a symptom of digoxin toxicity. The nurse shouldwithhold the medication and call the provider if the client's heart rate is less than 60 bpm. B. Request a dietitian consult. Rationale: Whilethe dietitian might be able to assist the client with making approp riate food choices, this isnot the first action the nurse should take. C. Suggest that the client rests before eating the meal. Rationale: While this intervention mightbe appropriate, this is not the first action the nurse should take. D. Request an order for an antiemetic. Rationale: Whilethis intervention might relieve the client's nausea,this is not the first action the nurseshould take. 2. A nurse is caring for a clientwho has thrombophlebitis and is receiving heparin by continuous IV infusion.Theclient asks the nurse how long it will take for the heparin to dissolve the clot. Which of the following responsesshould the nurse give? A. "It usually takes heparin at least 2to 3 days to reach a therapeutic blood level." Rationale: The effects of heparin begin within minutes. This response does not accurately answer theclient's question. B. "A pharmacist is the person to answer that question." Rationale: Contacting the pharmacist is not the appropriate answer for the nurse to give. C. "Heparin does not dissolve clots. It stops new clots from forming." Rationale: Thisstatementaccuratelyanswerstheclient'squestion. D. "The oral medication you will take after this IV will dissolve the clot." Rationale: This is not a correct response. Warfarin,a PO medication that is often started after the clienthas been on heparin, does not dissolve clots. ATI DETAILED ANSWER KEY PRACTICE TEST #2 ATI NURSING 2023 -2024 QUESTIONS WITH CORRECT ANSWERS AND RATIONALES 3. A nurse is caring for a client who hasdeep vein thrombosis and has been on heparin continuous infusion for 5days. The provider prescribes warfarin PO without discontinuing the heparin. The client asks the nurse why bothanticoagulants are necessary. Which of the following statements should the nurse make? Page 1 ATI DETAILED ANSWER KEY PRACTICE TEST #2 ATI NURSING 2023 -2024 QUESTIONS WITH CORRECT ANSWERS AND RATIONALES A. "Warfarin takes several days to work, so the IV heparin will be used until the warfarin reaches a therapeuticlevel." Rationale: Heparin and warfarin are both anticoagulants that decrease the clotting ability of the blood andhelp prevent thrombosis formation in the blood vessels. However, these medications work indifferent ways to achieve therapeutic coagulation and must be g iven together until therapeuticlevels of anticoagulation can be achieved by warfarin alone, which is usually within 1 to 5 days.When the client's PT and INR are within therapeutic range, the heparin can be discontinued. B. "I will call the provider to get a prescription for discontinuing the IV heparin today." Rationale: DiscontinuingtheIVheparinisnotindicatedatthistime. C. "Both heparin and warfarin work together to dissolve the clots." Rationale: Neither medication dissolves clots that have already formed. D. "The IV heparin increases the effects of the warfarin and decreases the length of your hospital stay." Rationale: Neithermedicationincreasestheeffectsoftheother. 4. A nurse caring for a client who has hypertension and asks the nurse about a prescription for pr opranolol.The nurseshould inform the client that this medication is contraindicated in clients who have a history of which of the followingconditions? A. Asthma Rationale: Propranolol, a beta -blocker, is contraindicated in clients who have asthma because it can causebronchospasms. Propranolol blocks the sympathetic stimulation, which prevents smooth musclerelaxation. B. Glaucoma Rationale: Beta-blockers are contraindicated in clients who have cardiogenic shock, but are notcontraindicated ina client who has glauc oma. C. Depression Rationale: Beta-blockers are contraindicated in clients who have AV heart block, but are notcontraindicated in clients who have depression. D. Migraines Rationale: Beta-blockers are used for prophylactic treatment of migraine headaches. 5. A nurse is preparing to administer verapamil by IV bolus to a client who is having cardiac dysrhythmias. For whichof the following adverse effects should the nurse monitor when giving this medication? A. Hyperthermia Rationale: Temperature is not affected by verapamil. ATI DETAILED ANSWER KEY PRACTICE TEST #2 ATI NURSING 2023 -2024 QUESTIONS WITH CORRECT ANSWERS AND RA TIONALES B. Hypotension Rationale: Verapamil, a calcium channel blocker, can be used to control supraventricular tachyarrhythmias. It also decreases blood pressure and acts as a coronary vasodilator and antianginal agent. Amajor adverse effect of verapam il is hypotension; therefore, blood pressure and pulse must bemonitored before and during parenteral administration. C. Ototoxicity Rationale: Verapamil is not toxic to the ear. D. Muscle pain Rationale: Verapamil does not cause muscle pain. 6. A nurse is carin g for a client who is taking lisinopril. Which of the following outcomes indicates a therapeutic effectof the medication? A. Decreased blood pressure Rationale: Lisinopril, an ACE inhibitor, may be used alone or in combination with other antihypertensives inthe management of hypertension and congestive heart failure.A therapeutic effect of themedication is a decrease in blood pressure. B. Increase of HDL cholesterol Rationale: This is not an intended effect of lisinopril. C. Prevention of bipolar manic episodes Rationale: This is not an intended effect of lisinopril. D. Improved sexual function Rationale: This is not an intended effect of lisinopril. Lisinopril may in fact cause sexual dysfunction andimpotence. 7. A nurse is caring for a client who has heart failure and a prescription fordigoxin. Which of the following statementsby the client indicates an adverse effect of the medication? A. "I can walk a mile a day." Rationale: Improving the client's cardiac output,which in turn will improvethe client's exercise tolerance , isa therapeutic response to digoxin. B. "I've had a backache for several days." Rationale: Backaches are not an adverse effect of digoxin. C. "I am urinating more frequently." Rationale:

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