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Med-Surg Final ATI 2024/2025 (100% verified) graded A+
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Med-Surg Final ATI 2024/2025 (100% verified) graded A+
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Med-Surg Final ATIA nurse is admitting a client who has a suspected MI and a history of angina. Which of the
following findings will help the nurse distinguish angina from an MI?
A. Angina can be relieved with rest and nitroglycerin
B. The pain of an MI resolves in less than 15 minutes
C. The type of activity that causes an MI can be identified
D. Angina can occur for longer than 30 minutes. - ANSA. Angina can be relieved with rest and
nitroglycerin
A nurse on a cardiac unit is reviewing the lab findings of a client who has a diagnosis of MI and
reports that his dyspnea began 2 weeks ago. Which of the following cardiac enzymes would
confirm the infarction occurred 14 days ago?
A. CK-MB
B. Troponin I
C. Troponin T
D. Myoglobin - ANSC. Troponin T
A nurse is caring for a client in a clinic who asks the nurse why her provider prescribed 1 aspirin
per day. Which of the following is an appropriate response by the nurse?
A. "Aspirin reduces the formation of blood clots that could cause a heart attack."
B. "Aspirin receives the pain due to myocardial ischemia."
C. "Aspirin dissolves clots that are forming in your coronary arteries."
D. "Aspirin relieves headaches that are caused by other medications." - ANSA. "Aspirin reduces
the formation of blood clots that could cause a heart attack."
A nurse is instructing a client who has angina about a new prescription for metroprolol tartare
(Lopressor). Which of the following statements by the client indicates understanding of the
teaching?
A. "I should place the tablet under my tongue."
B. "I should have my clotting time checked weekly."
C. "I will report any ringing in my ears."
D. "I will call my doctor if my pulse rate is less than 60." - ANSD. "I will call my doctor if my pulse
rate is less than 60."
A nurse is presenting a community education program on recommended lifestyle chances to
prevent angina and MI. Which of the following changes should the nurse recommend be made
first?
A. Diet modification
B. Relaxation exercises
C. Smoking cessation
D. Taking omega-3 capsules - ANSC. Smoking cessation
,A nurse is caring for a client who has heart failure and reports increased shortness of breath.
The nurse increases the oxygen per protocol. Which of the following actions should the nurse
take first?
A. Obtain the client's weight
B. Assist the client into high-Fowler's position
C. Auscultate lung sounds
D. Check O2 saturation with pulse oximeter - ANSB. Assist the client into high-Fowler's position
A nurse is caring for a client who has heart failure and asks how to limit fluid intake to 2,000
mL/day. Which of the following is an appropriate response by the nurse?
A. "Pour the amount of fluid you drink into an empty 2 liter bottle to keep track of how much you
drink."
B. "Each glass contains 8 ounces. There are 30 milliliters per ounce, so you can have a total of
8 glasses or cups of fluid each day."
C. "This is the same as 2 quarts, or about the same as two pots of coffee."
D. "Take sips of water or ice chips so you will not take in too much fluid." - ANSA. "Pour the
amount of fluid you drink into an empty 2 liter bottle to keep track of how much you drink."
A nurse is teaching a client who has heart failure about the need to limit sodium in the diet to
2,000 mg daily. Which of the following foods should be consumed in limited quantities? (Select
all that apply)
A. Cheddar cheese, 2 oz
B. Hot dog
C. Canned tuna, 3 oz
D. Roast chicken breast, 3 oz
E. Baked ham, 3 oz - ANSA. Cheddar cheese, 2 oz
B. Hot dog
C. Canned tuna, 3 oz
E. Baked ham, 3 oz
A nurse is completing discharge teaching to a client who has heart failure and is encouraged to
increase potassium in his diet. Which of the following statements by the client indicates
understanding of the teaching?
A. "I will consume more white rice."
B. "I will eat more baked potatoes."
C. "I will drink more grape juice."
D. "I will use more powdered cocoa mixes." - ANSB. "I will eat more baked potatoes."
A nurse is completing the admission assessment of a client who has suspected pulmonary
edema. Which of the following are expected findings? (Select all that apply)
A. Tachypnea
B. Persistent cough
C. Increased urinary output
, D. Thick, yellow sputum
E. Orthopnea - ANSA. Tachypnea
B. Persistent cough
E. Orthopnea
A nurse is completing discharge teaching with a client who had a surgical placement of a
mechanical heart valve. Which of the following statements by the client indicates understanding
of the teaching?
A. "I will be glad to get back to my exercise routine right away."
B. "I will have my prothrombin time checked on a regular basis."
C. "I will talk to my dentist about no longer needed antibiotics before dental exams."
D. "I will continue to limit my intake of foods containing potassium." - ANSB. "I will have my
prothrombin time checked on a regular basis."
A nurse is completing the admission physical assessment of client who has a history of mitral
valve insufficiency. Which of the following is an expected finding?
A. Hoarseness
B. Petechiae
C. Crackles in lung bases
D. Splenomegaly - ANSC. Crackles in lung bases
A nurse is reviewing the health record of a client who is being evaluated for possible valvular
heart disease. The nurse should recognize which of the following data as risk factors for this
condition? (Select all that apply)
A. Surgical repair of an atrial spatial defect at age 2
B. Measles infection during childhood
C. Hypertension for 5 years
D. Weight gain of 10 lb in past year
E. Diastolic murmur present - ANSA. Surgical repair of an atrial spatial defect at age 2
C. Hypertension for 5 years
E. Diastolic murmur present
A nurse is caring for a 72-year-old client who is to undergo a percutaneous balloon
valvuloplasty. The client's daughter asks the nurse to explain the expected outcome of this
procedure. Which of the following is an appropriate response by the nurse?
A. "This will improve blood flow in your mother's coronary arteries."
B. "This will permit your mother to resume her ADLs."
C. "This will prolong your mother's life."
D. "This will reverse the effects to the damaged area." - ANSB. "This will permit your mother to
resume her ADLs."
A nurse educator is reviewing expected findings in a client who has right-sided valvular heart
disease with a group of nurses. Which of the following should be included int he discussion?
(Select all that apply)
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